Beth Israel Deaconess-Plymouth

Summer Volunteer Application

Thank you for your interest in the Summer at BID Plymouth program at Beth Israel Deaconess Plymouth. Participants in the Summer at BID Plymouth Program reach out to others, serve the community and learn skills in the field of healthcare. All candidates are given full consideration and the final selection is based on the strength of a person's qualifications, their availability and their ability to contribute to the Hospital's mission.

Volunteers must commit to 80 hours of service to be considered for this program. A typical schedule could include up to three shifts per week. Participants in the Summer at BID Plymouth Program reach out to others, serve the community and learn skills in the healthcare field. A variety of positions are available, from escorting to visiting our patients, helping in the Emergency Department, Endoscopy, Surgical Services, Oncology and more. A variety of opportunities await you when you walk through the doors of Beth Israel Deaconess Hospital Plymouth. Your experiences can be the key to a new and exciting future.

Note: Applications are due by March 31st.

Personal Information

* First name

Middle name

* Last name

* Street Address:

Mailing Address if Different from Street Address:

* City

State

* Zip

* Phone

* E-mail

* Date of Birth

Shirt Size for Uniform

Volunteer Questionnaire

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?

TO BE COMPLETED BY PARENT OR GUARDIAN

Parent or Guardian

* Parent/Guardian's name

* Phone

Emergency Contact

* Emergency contact's name

* Relationship

* Phone

Physician

* Physician's name

* Phone

Is he/she currently take any medications:

If yes, please give name(s) of medication and dosage:

I give my full consent to have my child volunteer at Beth Israel Deaconess-Plymouth.

* Parent or Guardian Signature: Typed name accepted as Electonic Signature

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 guidance counselor. All reference letters should be e-mailed to volunteerservices@bidplymouth.org with your name listed in the subject line.

Expectations and Commitment Agreement

Be at least 16 and no more than 18 years old.
Be able to commit to 80 hours/8hrs per week over the course of the summer.
Be on time, reliable and consistent.
Have transportation to and from the hospital.
Be available to attend the mandatory orientation program in June or July.

A Summer at BID Plymouth volunteer, not a parent or guardian, is expected to take responsibility for any necessary communication with the Volunteer Office.

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

All 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.

A $20 application fee paid by check must be brought to orientation. The check should be made payable to Volunteer Services. NO CASH will be accepted.

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.

PLEASE NOTE ALL VOLUNTEERS ARE REQUIRED TO HAVE THEIR MMR, TB, VARICELLA, FLU IN SEASON, THE ORIGINAL COVID SERIES PLUS ONE BOOSTER OR THE COVID BIVALENT VACCINE. This is provided by our Occupational Health department at no cost to you. You will be directed to Occ. Health after the interview process.

Commitment Agreement

As an applicant and parent/guardian of an applicant to the Summer at BID-Plymouth Volunteer Program, we understand the outlined expectations and agree to adhere to them. As the applicant to the Summer at BID-Plymouth Program, I understand I am making a formal commitment of 80 hours over the summer to the Beth Israel Deaconess-Plymouth and fully intend to fulfill this commitment. I also understand that Volunteer Services will not sign-off on any community service forms until the entire 80-hour commitment has been met.

As the volunteer I agree to the above statement.

As the parent/guardian I agree to the above statement.

* Signature: (Typed name accepted as Electronic Signature)

* Date: