Middlesex Health

Applicant Statement

Please check the box below to acknowledge and agree with the following statements:

• I understand that volunteering with hospice requires approximately 30 hours of mandatory in-person and online training prior to supporting patients. Additionally, hospice volunteers are required to participate in six hours of inservice training annually. 
• I understand incomplete applications will not be considered for processing.
• I understand that documentation of a COVID vaccine, proof of vaccination of measles, mumps and rubella (MMR) vaccine or laboratory evidence of immunity, proof of vaccination of 2 doses of the Varicella vaccine (vaccine for chicken pox) or laboratory evidence of immunity or history of chickenpox based on healthcare provider diagnosis, and a 2-step TB (PPD) skin test [If positive, chest X-ray is required], or Quantiferon Gold (preferred) will be required to volunteer with Middlesex Health.
• I understand that a flu vaccine is required in season.
• I agree to abide by the policies and regulations of Middlesex Health and the Volunteer Services Department and to participate in orientation and training required by Middlesex Health.
• I will hold as absolutely confidential all information that I may obtain directly or indirectly concerning patients or personnel and not seek to obtain confidential information from a patient.
• I understand that I may be dismissed from my duties if I fail to comply with health system policies and procedures, willful wrongdoing or negligence and/or performing duties outside of my service guidelines, inappropriate behavior, or any other circumstances deemed contrary by the Director of Volunteer Services to the best interests of the health system.
• I authorize Middlesex Health to take my photograph in relation to my volunteer position.