VOLUNTEER INFORMATION 
To comply with CMS regulations, we must ask for your Social Security Number. If you do not have one, enter 000-00-0000 and check the box that states, "I do not have a Social Security Number." You are not required to be a U.S. citizen to volunteer at Harris Health.
CANCARE VOLUNTEER INFORMATION 
CANCARE VOLUNTEER ACKNOWLEDGEMENT:
PERSONAL INFORMATION
OTHER INFORMATION
TEXT OPT IN
PHOTO RELEASE:
As a Harris Health volunteer, I realize that my image may be captured at different events. I give my permission to the Administrators of Harris Health; Guest Services and the Administrative Director of Corporate Communications to use my image in any appropriate and related materials that will promote or otherwise publicize the Volunteer & Guest Services department or Harris Health.*
BACKGROUND CHECK AUTHORIZATION:
Choose if you have ever been convicted of or been on deferred adjudication for, or are you now either awaiting trial for or on deferred adjudication for, a felony or misdemeanor.
CONFIDENTIALITY AGREEMENT:
I agree to use confidential or proprietary information only as needed to perform my volunteer duties.  This means I will not access confidential or proprietary information without legitimate need/permission, nor in any way divulge, copy, release, sell, lend, revise, alter, or destroy any confidential or proprietary information belonging to Harris Health.  I understand that I will be automatically dismissed as a volunteer if I do not respect my responsibility for maintaining confidentiality.

 

If accepted as a Harris Health System Volunteer, I agree to the following:

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