Fill out this application form if you wish to volunteer at Baylor Scott and White Medical Center Grapevine
Baylor Scott & White Medical Center Grapevine - Volunteer Services Application
Current Employer or School
Emergency Contact Information
In case of emergency notify
Relationship to you
References and Screening
Adult Applicant Non-Relative References
Have you ever been convicted of, been given probation or deferred adjudication in lieu of sentencing, pled no contest for any offense other than minor traffic violations or are you charged with an unresolved criminal charge? (Are you charged with a crime that has not yet resulted in a plea of guilty, court trial, deferred adjudication or dropping of the charge?)
If yes, please explain
Have you been involved in healthcare legal action in the past four years?
If yes, please explain
Do you currently use nicotine products including, but not limited to, cigarettes, ecigarettes, cigars, pipes, chewing tobacco, nicotine patches or gum?
Previous work and/or volunteer experience
Computer - Data entry
Computer - IT general
Construction - Carpentry
Construction - Electrical
Construction - General
Construction - Painting
Construction - Plumbing
Food Services - Delivery
Food Services - Preparation
Medical - Doctor/Physician
Medical - First Aid
Medical - General
Medical - Nursing
Sports - Coaching
Sports - Official
Transportation - Driver (bus/van)
Transportation - Driver (car)
Transportation - Emergency
Transportation - Moving
Transportation - Parking
How did you find out about our volunteer program?
Reason for volunteering
Type of service that interests you:
*To be considered for one of our specialty volunteer programs, check all that apply.
I am a:
Former Cardiac Patient
Pet Therapy Escort
Please check the times you would be available for volunteer assignments.
Hours Prefered (may vary):
I am available to volunteer for one 4-hour shift per week for a minimum of one year.
Once accepted into the volunteer program, I agree to give regular and dependable service to Baylor Scott & White Medical Center - Grapevine.
The application process includes a personal interview, checking of references, submitting to a criminal background check, completing a two-step TB screening, a drug and nicotine screening, and attending general volunteer orientation. Upon acceptance, you will receive training to enable you to efficiently perform your duties as a volunteer. It is expected that volunteers will comply with the hospital and department policies and guidelines.
's Volunteer Management Web Interface by