Employee Volunteer Application & Acknowledgement

You have indicated that you are currently an employee of Enloe Health. Thank you for your interest in volunteering at Enloe Health! In order to ensure that everyone concerned understands our policy regarding the limits and boundaries under which an employee may volunteer for Enloe Health, the following acknowledgment form has been prepared. Once submitted, the form will automatically be retained in the Volunteer Services office. A copy of the form will also be retained in your personnel file.

New User Details

User ID

User ID (verify)

Password

Password (verify)

* Volunteer Service Area (e.g. Hospice, Guest Services, Musician, etc.)

* First name

* Last name

* Name you go by

* Employee ID

* Current Enloe Job Title:

Exemption Status

* Department

* Supervisor

* Street Address

* City

* State

* Zip/postal

* Preferred Phone Number

Alternate Phone#

* E-mail

Emergency Contact Information

* Contact name

* Relationship name

* Emergency Contact Phone

Character Reference

Character Reference #1

Character Reference #2

Please initial each item below to confirm that you are aware of and understand the conditions by which an employee may engage in volunteer work for the organization.

* I understand that in order to volunteer, I must be formally registered with Volunteer Services. Applicant Initials  

* I understand that I am required to be formally trained for volunteer service as per the position. Topics covered under the employee orientation and annual updates will be waived to avoid duplication of training. Applicant Initials  

* I am and will remain current with annual/periodic employee health screenings and 'fitness for duty' requirements. Applicant Initials  

* I will be performing services strictly as a volunteer without coercion by my employer and without compensation for my services now or in the future. Applicant Initials  

* I am permitted to volunteer in other departments or programs providing there is clearly no conflict of interest and I choose to volunteer at my request. Applicant Initials  

* I will not volunteer, at any time or under any circumstances, in the department in which I am employed. Applicant Initials 

* As an employee, I will not volunteer to perform duties in another department that are the same, or essentially the same, as the 'nature of the work' responsibilities in my employment job description. Applicant Initials  

* I will volunteer only during non-working hours when I am clocked out and officially off-duty. Applicant Initials  

* I will notify Volunteer Services if I change positions or terminate employment at Enloe Health. Applicant Initials

* If there is any question regarding a particular situation or this policy, I will contact the Director of Volunteer Services prior to performing any questionable tasks or duties. Applicant Initials  

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