In connection with volunteering with Asante, I understand that investigative background inquiries are to be made on me, which may include criminal convictions, motor vehicle, and other reports. I understand that Asante will be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, criminal, civil and other experiences.
I hereby authorize and request that you make available to any duly authorized representative of Asante any information relevant to criminal history. I hereby waive any right I may have with regard to release of this information to Asante. This authorization and consent shall be valid in original, fax, or copy form. I verify that I am the named on this Volunteer Application and that I authorize this background check to be run by Asante.
I shall hold as absolutely confidential all information that I may obtain directly or indirectly concerning patients, doctors or personnel, and not seek to obtain confidential information from a patient.
My services as a volunteer are donated to the hospital without contemplation or compensation of future employment and are given for humanitarian and charitable reasons.
I may not solicit any business for attorneys or insurance companies “for compensation,” both on or off of Asante property, or act as a runner or capper for an attorney in the solicitation of business. I shall report all known occurrences of solicitation for attorneys to Volunteer Services Management.
I may not sell or attempt to sell goods or services, request contributions, or solicit persons to sign or distribute political petitions on Asante premises, unless I receive the express authorization of Volunteer Services Management to engage in these activities.
I shall submit to examinations, which may include chest x-rays, skin tests, appropriate laboratory tests and/or immunizations that may be necessary as part of my volunteer service.
I shall be punctual and conscientious, conduct myself with dignity, courtesy and consideration of others, and endeavor to make my work professional in quality.
I shall make my best effort to fulfill my commitment to Asante by completing all assignments that I accept.
I shall at all times uphold the Vision, Mission and Values of Asante.
I understand that the Volunteer Services Department reserves the right to terminate any volunteer status as a result of (a) failures to comply with Asante policies, rules and regulations; (b) Volunteer Program guidelines; (c) or any other circumstances which, in the judgment of the Volunteer Services Management, would make any continued services as a volunteer contrary to the best interests of Asante.
I understand that Asante assumes no responsibility for any contact, visits or services provided by me outside of the responsibilities assigned through the volunteer program of Asante.
Volunteers are not covered under Asante’s medical insurance should any injury or illnesses occur while on duty. I acknowledge the risks associated with working in a hospital environment, where community acquired conditions are possible.
I understand that I must have my own personal medical insurance during my volunteer service.
I shall read all emails and newsletters sent out within 48 business hours of receiving them.
Create Volunteer Profile
Welcome to the Asante Community Event Registration & Volunteer Information System (CERVIS). Thank you for your desire to serve as part of the Asante's Volunteer team. Please complete the information requested below to submit your application for review. We look forward to serving with you!