Welcome to Baylor Scott & White Medical Center Plano Campus

We will be accepting applications for our 2018 Student Volunteer Summer Program between December 1, 2017 and March 15th, 2018. Invitations for interviews for this program will be sent out the later part of March to the email listed on the application. We will be looking forward to meeting you!

Volunteer Application


Personal Information
First name
Middle name
Last name
Birth Month/Date
Gender
Group
Home Address
City
State
Zip/postal
Mobile
Home phone
Work phone
E-mail
Current Employer or School

Emergency Contact Information
In Case of emergency notify
Relationship to you
Home phone
Work phone
Mobile

References
Provide two adult non-relative references
Name
Phone
E-mail
Address
City
State
Zip/postal
Name
Phone
E-mail
Address
City
State
Zip/postal
Have you even been convicted, 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?)
Yes
No
If yes, please explain
Have you been involved in any healthcare legal action in the past 4 years?
Yes
No
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?
Yes
No

Background Information
Previous work and/or volunteer experience
Language(s) spoken other than English
How did you hear about our Program?
Skills
List Other
Reason for Volunteering
Types of services that interest you
* To be considered for one of our speciality volunteer programs, check all that apply.
I am a(n):
Heart Patient
Retired R.N.
Cancer Suvivor
Other
Patient Advisor

Available Times
Please check the times you would be available for volunteer assignments
Day(s) Preferred
Hour(s) Preferred
Monday
Early Morning
Tuesday
Morning
Wednesday
Afternoon
Thursday
Evening
Friday
Saturday
Sunday
If accepted into the volunteer program, I will provide regular dependable service to Baylor Scott & White Medical Center Plano. I will comply with the Hospital's policies and guidelines.
After review of your application, you may be invited to a personal interview. Upon acceptance into our volunteer program, you will need to complete a background check, a drug and nicotine test, and a two-step TB screen.