Holy Cross Hospital
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Volunteering

Volunteer Orientation Checklist
* Indicates required information
Date *    (mm/dd/yyyy)
First Name * 
Last Name  * 
Last 4 digits of Your Social Security Number  * 
Email Address * 
I have read and understand the Missions of Holy Cross Hospital and of the Volunteer Services Department.  * 
I have reviewed the R.E.A.C.H. information on Customer Service. I understand that great customer service is the number one priority.  * 
I have read and understand the General Rules and Guidelines for Volunteers.  * 
I have read, understand and agree to strictly abide by all rules and policies regarding HIPAA and Confidentiality. * 
I have read and understand the General Safety Information, including: Fire Safety; Stroke Awareness; Hazardous Materials; Infection Control Safety; Injury Prevention; Disaster and Emergency Preparedness; Bioterrorism Response Plan and Workplace Violence. * 
I have read and understand the proper Infection Control and Risk Management procedures, including hand hygiene, standard precautions, isolation categories, and blood borne pathogens. * 
I have read and understand the Code Yellow Emergency Plans. I know my responsibilities in case of an emergency. I know there is an emergency plan card on the back of my badge for reference. * 
I understand that I will be given an identification badge that I am to wear it at chest height any time I am on duty.  * 
I understand that I will receive instructions on how to report my hours, and I will report my hours for every shift that I volunteer.  * 
I commit to donate a minimum of 100 hours of my time before I retire as a volunteer. I understand I am welcome to more than 100 hours.  * 
I understand that I will receive parking instructions and I will follow these instructions. * 
I have reviewed the dress code policy. I understand that I am to be in proper uniform any time I am on duty.  * 
I understand if I have any questions, or want to discuss anything I have read during orientation I should speak to the director of volunteers to have my questions answered. * 
I have filled out and returned all appropriate forms and tests: Volunteer Agreement, Confidentiality Agreement, and General Awareness Quiz.  * 
Electronic Signature * 
Authentication * 

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