Dear Prospective Volunteer,

Transcription

1 Department of Volunteer Services 600 North Wolfe Street Carnegie 173 Baltimore, MD T F Dear Prospective Volunteer, The Department of Volunteer Services of The Johns Hopkins Hospital was established in Its mission was and still is to extend the patient care services of The Johns Hopkins Hospital. Our volunteers work in many departments of the hospital complex. We make every effort to place individuals in the position of their interest; however, volunteer position availability varies. Enclosed you will find information listing requirements needed to become an official Johns Hopkins volunteer and a volunteer application. When completing the application please PRINT or TYPE your entries. Do not mail your application. Once you have successfully met the initial requirements, including parental consent, two teacher recommendations, an essay, and an interview with a potential site supervisor, we will contact you with instructions for the online training courses and TB test. You will learn about the history of The Johns Hopkins Hospital, policies and procedures, benefits, TB screening and recognition. The training courses and TB test must be repeated annually if you decide to remain a volunteer at The Johns Hopkins Hospital. We look forward to having you as a valuable addition to Johns Hopkins. Please note that the process of becoming a volunteer may take some time, but it will all be worth it. For questions regarding the volunteer application process, contact the Department of Volunteer Services at or volunteerservices@jhmi.edu. We look forward to welcoming you as one of our newest volunteers. Thank you for your interest. Sincerely, Kia-Lillian Hayes, MPS Manager, Volunteer Services

2 Volunteering at The Johns Hopkins Hospital Before you begin the application process for Volunteer Services, please answer the following questions to help you determine if The Johns Hopkins Hospital is the best place for you. As you make a commitment to give your time and service freely, please also discuss your decision with family and other important people in your life. Keep in mind that it is important for you to make this commitment at the right place and at the right time. *Indicates required field. *The volunteer application process includes several trips to the JHH East Baltimore Campus before you can get a badge, begin volunteering and receive benefits. Typically, applicants make four trips to the hospital for interviewing, TB testing, and turning in required documents. Are you willing to make the trips required to complete the volunteer application process? Yes No *JHH volunteers must commit to a minimum of 75 hours of service. Four hours of service per week is required unless instructed otherwise by your assigned department. Are you willing to dedicate at least 75 hours to volunteering with a structured schedule over the next few months? Yes No *JHH volunteers are selected based on skills, experience and character. Are you a team player with good communication and time management skills? Yes No *Six online training courses and a TB test are required in order to complete the volunteer registration process. If you are accepted as a volunteer, the Department of Volunteer Services will create a JHED ID for you with your social security number or copy of your visa once you have secured a position. The online training must be renewed each year that you volunteer at JHH. Are you willing to provide the necessary information, complete the online training and get a TB test done? Yes No If you answered yes to all of these questions, we encourage you to continue with your application. Please read the application packet thoroughly before turning it into Volunteer Services so you are familiar with our policies. Thank you for your interest in our volunteer program.

3 The Johns Hopkins Hospital Department of Volunteer Services Application Checklist The following are the steps to become a volunteer at The Johns Hopkins Hospital. Check each step once it has been completed. When all indicator boxes are checked you will then be a Johns Hopkins Volunteer! 1. Complete Application Packet. Do not mail application. Please bring the completed application packet to the screening interview (If you have been pre-selected/pre-placed see step #3.) Application Form Parental Consent Form (2) Counselor/ Teacher Recommendation Forms Essay on Why I want to volunteer at Johns Hopkins Hospital 2. Schedule a screening Interview with a representative of the Department of Volunteer Services. If you have been preselected by a department, turn in all of your paperwork and contact Volunteer Services to retrieve your JHED ID and online training instructions. (A reference and criminal background check are required as part of the selection process.) Note: Call the Department of Volunteer Services at to schedule the screening interview. Bring the completed application packet with you to your interview. 3. Interview with the supervisor from your potential assignment site. (You will need to schedule this interview.) Your supervisor should fill out a Placement Interview Form which must be returned to the Volunteer Office. 4. Complete the online volunteer training which consists of the 5 courses listed below. (Please contact the Department of Volunteer Services for your JHED ID and login instructions if you do not receive it via within two days of submitting your placement form.) Your application, background check information and placement form must be submitted prior to taking the online training. Volunteer Services Orientation Intermediate Privacy Course for Healthcare Providers Required Annual Topics for Non-Clinicians Bloodborne Pathogens Compliance Awareness Fire Safety & Hazard Communication 5. Get a TB screening. Note: You may either submit written documentation of your TB screening taken at your wellness center or medical practitioner s office, or you may receive the TB screening free of charge at the Department of Occupational Health. This department is located at Church Home in room 421 (98 N. Broadway). The office hours are 7:30 a.m. to 4:00 p.m., Monday through Friday. You must schedule an appointment by calling Please note there are no TB screenings on Thursdays. Remember, you must return in 48 to 72 hours to the Department of Occupational Health to have the TB screening evaluated. Failure to do so will result in a repeated screening. Once you have the TB screening evaluated, please bring a form stating that you qualify to be a volunteer to the Department of Volunteer Services. 6. Have your picture taken for hospital identification badge. Note: A Johns Hopkins Identification Badge Request Form can be picked up at the Department of Volunteer Services. The Badge Office is located in Harvey 108. The office hours are 8:00 a.m. to 4:00 p.m., Monday through Friday. You must present a valid picture identification to receive a Hopkins Badge. 7. Procedure for signing in and out: A. Monday through Friday from 8:00 a.m. to 4:30 p.m. in Carnegie 173. B. Web Time Entry, or time sheet. 8. Volunteer Benefits: MTA tokens, parking coupons, or meal tickets. Please note that you must volunteer at least 4 hours per shift to be eligible for these benefits and you can choose only one of these items each time you volunteer. You can use your badge/id to enter or exit the parking garage after 4PM, Monday through Friday, and at any time on the weekends or JHH scheduled holidays without paying a fee. Benefits are not available to School of Medicine research/lab volunteers.

4 Minimum Age: 15 years and enrolled in high school courses. VOLUNTEER REQUIREMENTS Number of Hours Required: Volunteers must commit to a minimum of 75 hours of service and a minimum of 4 hours of service per week is required. However, the amount of hours may be subject to change depending upon the needs of the department and volunteer and with approval of the volunteer supervisor. Processing Required: Prospective volunteers must complete a volunteer application which contains the names and telephone numbers of 2 personal references (non-relatives) and a background check form. High school students must submit a Parental Consent form, two School Recommendation forms, and an essay. Pre-selected/Pre-Placed Applicants: Prospective volunteers who have already been accepted by a department are considered preselected or pre-placed. These applicants can bypass the interview process and begin the online training once initial paperwork has been processed and approved by the Department of Volunteer Services. Interview(s): After completing the application, a screening interview must be scheduled with the Department of Volunteer Services. Applicants are reviewed and considered based on assessed skills, interests, level of demonstrated commitment and the availability of volunteer positions. The reference check and a criminal background check are then conducted. Upon successful completion of these checks, the applicant must schedule and attend an interview with a potential supervisor. During this interview a Placement Interview form must be completed by the interviewer and applicant. Health Related Documentation: Volunteers considering serving patient care areas who were born after January 1, 1957 must provide documentation of varicella (chickenpox) and measles/mumps/rubella (MMR) vaccination. Employees, faculty, physicians, staff, students and volunteers across Johns Hopkins Medicine, as well as at the schools of nursing and Public Health, are required to receive the flu vaccination. The seasonal flu vaccine is provided free of charge to all volunteers. All volunteers are screened for tuberculosis and must be determined to be free of active infection by the Department of Occupational Health before beginning service within the Hospital. Any volunteer with a positive reaction to the PPD test is advised to follow up with a chest x-ray and further medical treatment if so determined. Volunteers who serve clinical areas must receive a TB screening on an annual basis to maintain an active status. Orientation and Training: Once the application, background check, interviews and placement form have been completed the prospective volunteer must call the Department of Volunteer Services to retrieve a JHED ID and online training instructions. Training topics include a general overview of the volunteer program, infection control policies, environmental safety, liability, age-specific competencies, patient confidentiality, HIPAA and other hospital policies. The online training can be taken on any computer with an internet connection. Volunteers must complete a re-orientation and be evaluated annually to maintain an active status. Volunteers should be properly trained by their departmental supervisor or designated staff to successfully complete assigned tasks. This training is divided into two areas: basic workplace instruction (e.g. location of restroom, where to put coat, etc.) and job instruction. Attendance: Volunteers are expected to meet their commitments to their scheduled service hours. Supervisors must be notified of any absences in advance or as soon as possible. The Department of Volunteer Services should be notified of any extensive absences. After 3 consecutive unexcused absences without notification, the supervisor and/or the Department of Volunteer Services reserve the right to terminate a volunteer. All volunteers must sign in and out when reporting for service. Failure to do so and illegible handwriting will result in service hours not being recorded. Time can be recorded on a time sheet, online or via . Evaluation: All volunteers should demonstrate a good understanding of assigned tasks. A competency assessment by the supervisor should be given after 90 days of service and then on an annual basis of the start date.

5 The Johns Hopkins Hospital Department of Volunteer Services Volunteer Application Today s Date Last Name First Name Middle Initial Current Address City State Zip Code Home Telephone Cell Telephone Address Education/Special Training Highest Grade Level Completed Employer s Name/School s Name Occupation/Academic Major Parent s/guardian s Name (if under 18 yrs.) Are you at least 18 years of age? Yes No Do you have a M.D./PhD? Yes No Do you have a B.S. in Medicine? Yes No How did you hear about the Volunteer Services Department? Doctor Referral Friend Media Ad School Are you required to volunteer? If yes, please explain. Have you ever been convicted (found guilty) of a crime (including probation(s) before judgment), or are there any pending criminal charges awaiting a hearing in a court of law? Do not list any criminal charges for which records have been expunged. Yes No If you answered YES, please describe all convictions, when they occurred, the facts and circumstances involved, and information pertaining to rehabilitation. Volunteer Experience: (List most recent service positions) Position: Position: Agency: Agency: Date: Date: Placement Preferences: Indicate 1 st ( ), 2 nd ( ), and 3 rd ( ) choice 1. Administrative: Administrative and clerical duties. 2. Child Life: Help children with recreational/educational activities. 3. Non-Clinical: Clerical, running errands, answering phones. 4. Library: Visit in-patient areas with book-cart, respond to request for books. 5. Nursing: Assist nurses, interact with patients, and assist with meals and paperwork. 6. Pharmacy: Shelve medications, prepare and label materials, and stock rotation. 7. Other: Proposed Start Date: Proposed End Date:

6 The Johns Hopkins Hospital Department of Volunteer Services References and Emergency Contact Duration of Volunteer Services: One Time: 1-3 months: More than 3 months: On-call: Other: to References: List two people other than relatives who would be willing to serve as personal references. 1. Name Telephone Number Street Address City State Zip Code Address 2. Name Telephone Number Street Address City State Zip Code Address Emergency Contact: In the event of an emergency, please list the person you would want notified. Name Relationship Home Telephone Number Business Telephone Number Cellular Phone Number Statement of Understanding: I certify that all information is true and has been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest. I release the agency from any liability whatsoever for supplying such information. I understand that I must be at least 15 years of age to volunteer at The Johns Hopkins Hospital and if I am under the age of 18 years of age and/or attending high school I will need parental consent. Upon being offered a volunteer position, I understand that I may be required to provide additional information pertinent to the position for which applied. Applicant s Signature: Date: Parental Signature: Date:

7 The Johns Hopkins Hospital Department of Volunteer Services Name: Date: Please answer the following questions: What attracted you to this volunteer program? Is there an aspect within the program that motivates you to be a part of this program? What would you like to get out of your volunteer experience/internship? What would make you feel like you have been successful? Have you ever volunteered? If yes, for what agency and what position? Describe the agency and your volunteer responsibilities. What have you enjoyed most about your previous volunteer position(s)? Describe your ideal supervisor. What sort of supervisory style do you prefer to work? What skills and qualities do you feel you have to contribute to The Johns Hopkins Hospital? Are you willing to commit to the requirements of the volunteer program?

8 Department of Volunteer Services 600 North Wolfe Street Baltimore, MD T F Parental Consent Form Dear Parent or Guardian: In order for your child to apply for a volunteer position with The Johns Hopkins Hospital Junior Volunteer Program, we need your consent and involvement in helping your child have a productive experience. Please carefully read and sign this parental consent form if you would like us to continue our process of considering your child as a possible volunteer. If you have any questions or would like further information, please call the Department of Volunteer Services at Name of prospective volunteer: I understand that my child (named above) wishes to be considered for a volunteer placement and I hereby give my permission for him/her to serve in that capacity, if accepted by The Johns Hopkins Hospital Department of Volunteer Services. I understand that my child must be at least 15 years of age to volunteer. I understand that my child will not receive monetary compensation for the services contributed. I understand that my child is required to receive, free of charge, a tuberculosis screening. If an x-ray is required a parent/guardian must accompany him/her. I understand that my child is required to receive, free of charge, an influenza vaccination during flu season. I understand that my child will be provided with the orientation and training necessary for the safe and responsible performance of the duties assigned. He/she will be expected to meet all the requirements of the position, including regular attendance and adherence to the Hospital and its departments policies and procedures. I understand that my child will be provided emergency medical care if injured while he/she is on duty as a volunteer. I authorize the release of educational recommendations from my child s school to the Department of Volunteer Services at The Johns Hopkins Hospital. I understand that the information released may be requested for review by a potential supervisor. I authorize the Department of Volunteer Services to publish or release to the media any pictures of my child during his/her volunteer service at The Johns Hopkins Hospital for promotional or recognition purposes only. Please check box if you do not consent to this statement. This box, if left unchecked, means that you do consent to any publications or media release. Note: The statement regarding the publishing or releasing to the media your child s photograph does not hinder the process of considering your child from becoming a volunteer at The Johns Hopkins Hospital if not checked. Parent/Guardian s Name (please print): Signature: Nature of relationship to volunteer: Date:

9 Department of Volunteer Services 600 North Wolfe Street Carnegie 173 Baltimore, MD T F Confidential School Recommendation Student Name: Parental Consent: I authorize the release of information from my son/daughter s school records to the Department of Volunteer Services at The Johns Hopkins Hospital. Parental Signature: Date: Dear Counselor or Teacher: A student applying for volunteer service must have a recommendation from a school representative. Your evaluation and comments are appreciated. The information you provide may be reviewed by a potential supervisor. You may give the student the evaluation in a sealed envelope with your signature across the flap or you may mail it to the address listed in the top left corner of this form. Attendance Courtesy Dependability Initiative Scholastic Record Willingness Excellent Good Average Below Average Comments: Name (Print): School: Title: Signature: Date:

10 Department of Volunteer Services 600 North Wolfe Street Carnegie 173 Baltimore, MD T F Confidential School Recommendation Student Name: Parental Consent: I authorize the release of information from my son/daughter s school records to the Department of Volunteer Services at The Johns Hopkins Hospital. Parental Signature: Date: Dear Counselor or Teacher: A student applying for volunteer service must have a recommendation from a school representative. Your evaluation and comments are appreciated. The information you provide may be reviewed by a potential supervisor. You may give the student the evaluation in a sealed envelope with your signature across the flap or you may mail it to the address listed in the top left corner of this form. Attendance Courtesy Dependability Initiative Scholastic Record Willingness Excellent Good Average Below Average Comments: Name (Print): School: Title: Signature: Date:

11 Department of Volunteer Services 600 North Wolfe Street Carnegie 173 Baltimore, MD T F Student Essay Requirement Students must write and submit a 200-word essay describing Why I want to volunteer at Johns Hopkins Hospital. Please attach the essay to this sheet and submit it with your application. If you are interested in having your essay published at the end of your service term, check the indicator box below. You have my permission to publish my essay! Name: Date:

12 Department of Volunteer Services 600 North Wolfe Street Carnegie 173 Baltimore, MD T F DIRECTIONS TO THE JOHNS HOPKINS HOSPITAL From Washington, D.C., and Virginia and the I-95 access at Baltimore-Washington International Airport: Take I-95 North to Exit 53 (I-395 North) into Downtown Baltimore. (Note: Do not take the Martin Luther King Jr. Blvd. fork of the exit). Take the Conway Street exit. Turn LEFT onto MD-2 N / LIGHT ST. Turn right onto Pratt Street. Stay on Pratt for 1.4 miles to Broadway; turn left on Broadway. Turn left from Broadway onto Orleans Street. Go one block to N. Caroline Street and turn right. Follow the signs to patient parking. The entrance to the garage is on McElderry Street on the right. After parking your car, follow signs to the hospital from the Outpatient Center. From Philadelphia, New York and Northeastern Baltimore Suburbs: Take I-95 South toward Baltimore to Exit 57 (Boston Street and O'Donnell Street). Proceed on Boston Street approximately two miles and turn left onto Fleet Street. Follow Fleet Street to Broadway; turn right on Broadway. Turn left from Broadway onto Orleans Street. Go one block to N. Caroline Street and turn right. Follow the signs to patient parking. The entrance to the garage is on McElderry Street on the right. After parking your car, follow signs to the hospital from the Outpatient Center. From York, Central Pennsylvania and Northern Baltimore Suburbs: Take I-83 South (Harrisburg Expressway) into Baltimore (Note: I-83 becomes the Jones Falls Expressway as you approach Baltimore). Exit at Fayette Street and turn left. Follow Fayette toward the medical campus. Follow Fayette Street to Broadway and turn left. Turn left from Broadway onto Orleans Street. Go one block to N. Caroline Street and turn right. Follow the signs to patient parking. The entrance to the garage is on McElderry Street on the right. After parking your car, follow signs to the hospital from the Outpatient Center. From Annapolis and Maryland's Eastern Shore (continued on back)

13 From Annapolis and Maryland's Eastern Shore: From Route 50, take I-97 toward Baltimore and follow I-97 to the Baltimore Beltway (I-695) toward Towson. Take the Beltway to the Baltimore-Washington Parkway (I-295) North. Follow I-295 into Baltimore (it becomes Russell Street). Turn right on Pratt Street. Stay on Pratt from 1.4 mile to Broadway; turn left on Broadway. Turn left from Broadway onto Orleans Street. Go one block to N. Caroline Street and turn right. Follow the signs to patient parking. The entrance to the garage is on McElderry Street on the right. After parking your car, follow signs to the hospital from the Outpatient Center. From Frederick and Western Maryland: Take I-70 East. Merge onto I-695 S/BALTIMORE BELTWAY OUTER LOOP via EXIT 91A toward I-95 S/GLEN BURNIE. Merge onto US-40 E via EXIT 15A toward BALTIMORE. Turn LEFT onto N BROADWAY. Turn left from Broadway onto Orleans Street. Go one block to N. Caroline Street and turn right. Follow the signs to patient parking. The entrance to the garage is on McElderry Street on the right. After parking your car, follow signs to the hospital from the Outpatient Center.