Beth Israel Deaconess-Plymouth

College Student Application

Beth Israel Deaconess Hospital Plymouth offers a program for college students majoring in healthcare fields. Students are placed in areas with direct patient contact to provide hands-on experience. Students are expected to volunteer (1) 4 hour shift/week from the time they are released from school in May until they go back to school in the fall. A variety of opportunities await you when you walk through the door of Beth Israel Deaconess Hospital Plymouth. Your experiences can be the key to a new and exciting future. College students should plan on completing necessary paperwork and testing while they are home on winter or spring break.

NOTE: Summer applicants must agree to complete a minimum of 4 hours/week for the duration of the summer break. Year round applicants must commit to 80 hours.

Applications are due March 31st for the Summer program.

* First name

Middle name

* Last name

* Street Address:

Mailing Address if Different than Street Address:

* City

State

* Zip

* Phone

* E-mail

* Date of Birth

School and Current Year:

Brief paragraph describing yourself, why you would like to be accepted in to the Volunteer Program and a summary of your skills/achievements/hobbies/interests.

Volunteer Questionnaire

Are you prepared to commit to one 4-hour shift/week for the duration of the summer or 80 hours if you are a year round volunteer?

What day/s of the week work best with your schedule?

What time of the day would fit your schedule? (8a-12p, 12a-4p, 3p-7p)

List Shirt Size for Uniform

Please tell us why you would like to volunteer at Beth Israel Deaconess Hospital Plymouth.

Please describe for us a time when you have interacted with someone who was ill or recovering from a physical or mental illness. What were your challenges and successes?

Please list and describe any volunteer positions you have previously held.

Please tell us about any work or life experiences that you think has prepared you to succeed as a hospital volunteer.

Do you have any special skills, talents or interests that you would be willing to share with us?

Emergency Contact

* Emergency contact's name

* Relationship

* Phone

Physician

* Physician's name

* Phone

References

Three letters of recommendation are required. The references must be adults (over age 22) and may NOT be a family member. One should be a teacher or adviser. Be sure to have all references sent to volunteerservices@bidplymouth.org with your name in the subject line.

College Expectations and Commitment

Be able to commit to one 4-hour shift/per week for the duration of the summer or a total of 80 hours if a year-round applicant.
Be on time, reliable and consistent.
Be available to attend the mandatory orientation program in June for summer applicants; orientation for year-round applicants is dependent on start. $45 Application fee is due at orientation - No Cash accepted - All checks should be made payable to BID-P Volunteer Services.

A volunteer, not a parent, is expected to take responsibility for any necessary communication with the Volunteer Office and initiate telephone calls or office visits as needed for requested days off, copies of completed hours, letters of reference, etc.

All college volunteers should plan on completing a full shift on their last day and not leave midday because they have completed 80-hours.

All college volunteers should notify the Volunteer Office as soon as possible if time off is needed for vacations, camps, retreats, etc., so we can schedule appropriately. The absence policy can be found in the Volunteer Handbook.

Excessive unplanned absences, improper dress or manner, or any disregard for hospital or departmental policies and procedures will be grounds for immediate termination of volunteer assignment.

Commitment Agreement

As an applicant to the College Volunteer Program, I understand the outlined expectations and agree to adhere to them. I also understand that I am making a formal commitment of 1/four-hour shift/week for the duration of the summer break or 80 hours if a year round applicant and fully intend to fulfill this commitment. I am aware that Volunteer Services will not sign-off on any community service forms until the entire commitment has been met. *PLEASE NOTE ALL VOLUNTEERS ARE REQUIRED TO HAVE THEIR MMR, TB/MANTOUX, VARICELLA, FLU IN SEASON, THE ORIGINAL COVID SERIES PLUS ONE BOOSTER OR THE COVID BIVALENT VACCINE.

* Signature: (Typed name accepted as Electronic Signature)

* Date: