Holy Cross Hospital
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Volunteering

Volunteer Agreement
* Indicates required information
If I am accepted as a volunteer, I agree to:  
Keep all information regarding patients/clients confidential.  * 
Give permission for the Volunteer Services staff to discuss my work history and performance with those I have listed as supervisors and references and with my potential HCH supervisor(s). * 
Sign in and out each day I volunteer according to the protocol set up for my particulars area. * 
Promise to volunteer a minimum of 100 hours per area. * 
I understand verbal or written verification of hours will only be given after I have contributed the minimum of 100 hours.  * 
Always be punctual and regular in attendance. * 
Notify my supervisor(s) in advance if I cannot work my schedule. * 
Wear the hospital I.D. badge while on volunteer duty.  * 
Purchase my own volunteer jacket (new $20, used $10) and wear it whenever on duty. * 
I understand that I can return my new volunteer jacket at the time I resign for a refund ($10) if the following conditions are met: The hospital is still using my style of volunteer jacket, the jacket is unstained, the hospital I.D. badge is returned.  * 
I won’t expect compensation or employment as a result of my volunteer work. * 
Provide my own transportation to and from the volunteer work site at my expense. * 
Notify my supervisor(s) and the Director of Volunteer Services of my plan to resign at least two weeks in advance. * 
Return my hospital I.D. badge to Volunteer Services on my last day. * 
Abide by Holy Cross Hospital policies and procedures. * 
Have a background check (for 18 years and older). * 
I certify that: 
I am at least 14 years old.  * 
I am not volunteering as a court requirement or as an attorney referral. * 
I have never been convicted of a crime. * 
Please sign and date below: 
Date *    (mm/dd/yyyy)
Electronic Signature * 
Authentication * 

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Holy Cross Hospital | 1500 Forest Glen Road, Silver Spring, MD 20910 | 301-754-7000