Camp Foster American Red Cross Dental Assistant Training Program. Childcare assistance is not provided during this training.

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1 Camp Foster American Red Cross Dental Assistant Training Program The American Red Cross and 3 rd Dental BN are offering the opportunity for free dental assistant training to Red Cross volunteers. During this training, Red Cross volunteers learn the basic skills necessary to work alongside dentists at various clinics on the island. It includes TWO (2) weeks of intense classroom training followed by 650 hours of chair-side assisting at one of the six Naval dental clinics. This is a non-licensing course. An interview of the candidates will take place prior to the start of the program, and, due to limited space in the dental clinics, approximately 16 candidates will be selected into the program (14 accepted plus 2 on standby). (*Additional candidates may be selected if applicants are willing to drive to Hansen or Schwab. Please inform Red Cross if you prefer Hansen or Schwab) If you do not have the commitment to complete this program, please do not apply. Eligible candidates may re-apply for the next program. Childcare assistance is not provided during this training. Applications are available from 1 June July Any applications turned in after 31 July 2015 will not be considered. Applications without personal essays will not be considered. Interested applicants must meet the following criteria and complete the following: Be a SOFA status ID card holder AND at least 18 years of age Have a high school diploma or GED Have 18 months or more time left on the island to ensure completion of the program Submit a personal narrative (with application packet) demonstrating interest in the program Demonstrate a strong commitment to the program Be willing to work with bio-hazardous material Each applicant to the Dental Assistant Program must submit a typed narrative at least one-half page in length explaining the applicant s interest in the program, why the applicant will be successful in the program, as well as his/her desire for admission. This page should give the interviewers an idea of your personality, so be creative. If desired, the applicant may include a resume.

2 CAMP FOSTER OKINAWA VOLUNTEER APPLICATION Previous Red Cross Experiences Date Date of Birth Age Group (14-18) (19-24) (25-64) (65 and over) Contact Information Last Name First Middle Home Address Apt/Bldg City State Zip Code Business Address/ Unit Suite City State Zip Code Home Phone Business Phone Cell Number Fax Number Address My preferred mailing address is: Home address Business address SOFA Status Yes No (You must have base access to volunteer) Employer Occupation Emergency Contact Name Day Phone Evening Phone Relationship Experiences (include both paid and volunteer work experience, beginning with most recent) Organization Name Address Phone From To Supervisor s Name/Title Organization Name Address Phone From To Supervisor s Name/Title Current Licenses and Certifications (other than those received through the Red Cross) Type Number State Expiration Date Type Number State Expiration Date Education (highest level achieved) Institution Name City/State Degree/Major Date Attended Language Skill Proficiencies Language: Speak: High Medium Low Read: High Med Low Write: High Med Low Language: Speak: High Medium Low Read: High Med Low Write: High Med Low Language: Speak: High Medium Low Read: High Med Low Write: High Med Low Volunteer Opportunities: (Check activities which interest you or skills you possess) Administrative Support Casework Computer Support/ IT Dental Assistant Training Disaster Services First Aid Station Availability Monday AM Tuesday AM Fund Raising H&S Instructor Medical Clinic/ Hospital Professional (RN, MD) Marketing/PR Special Events Wednesday AM Thursday AM Youth Programs Other (specify) Leadership Positions Station Chairman H&S Chairman Chairman of Volunteers Friday PM Fundraising Chairman Records Chairman IT Chairman Publicity/ Special Events Hospital Chairman Disaster Services Chairman Saturday AM Sunday AM Monday PM Tuesday PM Wednesday PM Thursday PM Friday AM Saturday PM Sunday PM

3 Have you ever worked as a Red Cross employee or volunteer? (If yes, give Red Cross affiliation names, position and dates.) Have you ever held any Red Cross certification? (If yes, please list.) A yes answer to the following italicized questions does not necessarily disqualify an applicant. Have you ever been convicted of a felony or misdemeanor within the past 24 months, which resulted in imprisonment? If yes, please explain. Have any of your Red Cross certifications ever been revoked? If yes, please explain. Why do you wish to volunteer with the American Red Cross (optional): I do hereby give the American Red Cross permission to inquire into my educational background, references, driving record, police records, employment, and/or volunteer history. I further give permission to the holder of any such records to release the same to the American Red Cross. I do hereby hold the American Red Cross harmless from any liability, whether civil or criminal, that may arise as a result of the release of this information about me. I further hold harmless any individual, agency, business, or corporation that provides information or documents to the above-named American Red Cross unit. I understand that the American Red Cross will use this information as part of its verification of my volunteer application and periodically for evaluation purposes. Signature: Date:

4 Program Timeline Applications Applications are available from 1 June July Applications due by COB 31 July No late submissions will be accepted. All applications must be returned in person. Applications will be reviewed immediately. Only candidates selected for an interview will be contacted. Interviews Interviews will be held by Navy Dental Corps and Red Cross staff on August 5 th, 6 th, and 7 th at the Red Cross Office, Camp Foster, Bldg All interviews will take place from Acceptance Notification Candidates selected to participate in the program will be notified by 11 th of August Candidates who are accepted must complete online version of Volunteer Application including submission of American Red Cross background check through Camp Foster Adult volunteer link at by 14 th of August Start of Program Medical Screening and background check must be complete before start of program. Contact Occupational Health for medical screening appointment at Take form included in this packet (page 7) to appointment. Upon completion of medical screening, you will be issued a Medical Surveillance card. Bring this card to Red Cross office for verification purposes. Classroom training begins 17 th of August 2015 and lasts for two (2) weeks. No absences are permitted during classroom training. Clinic training begins 31 st of August Childcare is not provided during the course of the program. Please have a childcare plan in place prior to program acceptance. During the Program Program participants are required to work a minimum of 35 hours per week for a total of 650 hours. Holiday season may affect the schedule, yet the hours required won t change. Program participants are required to keep track of their hours and turn them into the Red Cross office at the first of every month. Keep a copy of your signed time sheet for your records. All participants are required to attain certification in CPR/First Aid/AED for Professional Responders. The course will be given during your first Friday of classroom training. If you are unable to attend the scheduled training, you must make alternate arrangements. Drive time does not count toward overall program hours

5 Dental Assistant Code of Conduct As a Red Cross Dental Assistant Student, I understand and agree that I will be held to the following standards. Please initial each statement and sign the bottom of the form. As an American Red Cross Dental Assistant, I will: Uphold the high standard of service maintained by the American Red Cross throughout the world. Not expect or accept any pay or services (favors) for my services. Wear an American Red Cross name tag when on duty and adhere to the specified dress code of both DENTAC and the American Red Cross. Hold in confidence all personal information about clients or other workers which I may learn while on duty and understand that breaches in confidentiality can lead to my dismissal. Work under the supervision of an American Red Cross supervisor and notify him/her of any illness or problems that may occur during the training period. If an excused medical emergency or condition arises during your program that exceeds a two week time period, you will be removed from your current program and be required to re-apply for the next available program offered. Consider my training as a firm commitment, requiring attendance in classes and training in the clinic for a period of approximately 6 months, or 650 hours. I understand that more than two unexcused absences may result in dismissal from the training program; excused absences are determined by the Station Manager, Dental Chair, and LT. Cheng. Manage the eight excused absence days allotted for sick, personal and/or vacation time with in the program timeline. These days are not to be intentionally scheduled in a consecutive order exceeding three days at any given time. Understand that childcare issues are unexcused absences and need to be managed very closely, as you are only allotted two unexcused absences. Holidays and breaks in school may not correlate with your clinics schedule and therefore need to be planned in regards to childcare. Maintain current immunizations and communicate to my supervisor any health issues which may arise during my term as a Dental Assistant Trainee that may affect my ability to perform. Be responsible for my own transportation. Be responsible for my own child care arrangements and payment of same. Sign in and out daily with the appropriate log at the Dental Clinic. No sign-in, no credit. Obtain your clinic supervisor s signature daily once you ve completed your hours. Hand in, fax, or your Red Cross timesheet by the 5 th of each new month.

6 Submit accurate timesheets (falsifying timesheets results in immediate expulsion from the program). Maintain current American Red Cross CPR and First Aid qualifications. Cooperate and present a friendly and professional demeanor. Combative or disruptive behavior will not be tolerated and will lead to dismissal. Arrive on time to training each day and be respectful of the time of fellow trainees and instructors. Report any grievance or issue of concern to my immediate supervisor. Should satisfaction not be reached, I will bring my issue to the American Red Cross. I understand that final authority on any issue or grievance is the Camp Foster Advisory Council and that all decisions from the Advisory Council are final. Adhere to the American Red Cross Code of Conduct that was read and signed by me upon original application as a volunteer with the American Red Cross. Will wear no body piercing jewelry, with the exception of earrings, during training hours. I understand that volunteer hours submitted for Dental Assistant Training do not qualify for the Volunteer Incentive Program for Red Cross volunteers as it is a professional development program. The above qualifications are aligned with current Camp Foster American Red Cross and the National American Red Cross guidelines. If you have questions concerning any of the above-stated standards, please contact us at or [email protected]. Failure to adhere to this Code of Conduct will result in immediate expulsion. I have read and understood the above information Printed Name Signature Date

7 Camp Foster American Red Cross Dental Assistant Training Program Job Description

8 Location Position Title Purpose Key Responsibilities/ (Essential Job Functions) Camps Kinser, Foster, Courtney, Hansen & Schwab, MCAS Futenma Dental Assistant Volunteer To support the dental mission by providing hands on support as a trained dental assistant. The dental assistant is a vital member of the dental health team. 1. Chair side assistance. 2. Patient Record Management/Administrative; filing personnel records, scheduling appointments and confirmation, telephone techniques, collecting and recording patient health histories. 3. Preparing and maintaining dental instruments, supplies and equipment centralized. 4. (CSR) Clean and sterilize Centralized Sterilizing Room(s) 5. -ray 6. Arrive on time to training each day. 7. Sign in and out daily with the appropriate log at the Dental Clinic. No sign-in, no credit. Timesheet must be signed by supervisor. 8. Maintain current American Red Cross CPR and First Aid qualifications 9. Patient Management during dental procedures 10. Instrument transfer 11. Dental Isolation techniques 12. Dental Charting 13. Prevention and management of medical emergencies 14. Inventory control and management Please initial key responsibilities Relationships Qualifications Knowledge Skills and Abilities (KSAs) All volunteers: The Station Management Team; Dental Chair, Station Manager, LT Cheng or supervisor in charge Knowledge of the Red Cross Mission; willing to meet organizational goals, mission and vision Knowledge of management principles and practices ; Adhere to the American Red Cross Code of Conduct Knowledge of community resources and needs Skill in oral and written communication Ability to communicate with volunteers and various contacts in a professional and courteous manner Ability to establish organized work assignments and establish priorities Ability to negotiate with others and resolve conflicts, particularly in sensitive situations Ability to pay close detail and to ensure accuracy of reports and data Ability to make sound decisions using available information while maintaining confidentiality Ability to be able to be a part of a team environment and sustain volunteer commitment Training Orientation to American Red Cross: On-the-job training; planned, organized and conducted at the worksite Appointed by Station Manager, Dental Chair, or LT Cheng Reports to or Partners with Time Commitment Station Manager and LT Cheng or supervisor in charge Commitment of 650 hours. Approximately 6 months Recommendation of hours a week

9 Development Opportunities/ Continuing Education (section 12-1) Education and Experience: Physical Requirements: Seeing: Must be able to read computer screen and various reports Hearing: Must be able to hear well enough to communicate with employees and others Standing/Walking Climbing/stooping/kneeling Lifting Pushing Grasping/feeling: Must be able to write, type and use phone system American Red Cross offers Training Courses in the following areas: Community Services, Casework, Disaster, Healthy and Safety Services ( First Aid and CPR), Babysitter s training courses Instructor certification in most areas listed above High School Diploma, GED or equivalent Percentage of Work Time Spent on Activity 25%-49% 50%-74% 75%-100% NOTE: The statements herein are intended to describe the general nature and levels of work performed by volunteers, but are not a complete list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they are subject to change at the discretion of the Station Manager, LT Cheng, or Station management team. I understand the responsibilities and qualifications of this position, and agree to fulfill them to the best of my ability. Print Name Signature Date Revised by Kris Adams On June 17th, 2014 Guided by: Volunteer Administration (ARC 3317) Section 6-12; and ARC Intranet (CrossNet) Applicant Name:

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