Teen Volunteer Application

Teen Volunteer program requires:

  1. Parent Consent Form (provided at orientation)
  2. Parent/Guardian Consent for TB Screening*
  3. Latest Grade Report (documentation of 3.0 GPA)
  4. Letter of Recommendation (usually from a teacher, relatives excluded)

*Parent/Guardian Consent for TB Screening: Parent or Guardian must accompany the teen at the time of the TB Screening and have the completed form with them.  

Agreement: (please read carefully)

In submitting this application, I affirm that I will be 15 years of age before May 31, 2020 and have an unweighted GPA of 3.0 or better to become a Winter Haven Hospital Teen Volunteer. I agree to abide by the all of Policies and Procedures of the Hospital, including the dress code. I will keep all patient information completely confidential. I that I must complete the Health Screening process, attend Orientation, complete training sessions, strictly adhere to my service guidelines and accurately record and keep record of my service hours.

I understand that the organization is not obligated to provide a placement, nor am I obligated to accept the position offered. Further, I agree to return my photo ID badge when I leave the program.