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Solicitud de voluntario
médico sin licencia

Thank you for your interest in volunteering with Project LINK and the Back to School Coalition of Hillsborough County’s "Back-2-School Health Clinics." As we continue to prioritize health and safety in a post-pandemic environment, the well-being of our volunteers, staff, and the families we serve remains our top concern.

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To maintain a safe and supportive environment, all volunteers are required to complete a brief wellness verification prior to entering clinic sites and are encouraged to practice frequent hand sanitizing between client interactions. In alignment with our safety policies, Project LINK also conducts background screenings for all volunteers through the sexual predator/offender registry. Submission of your application confirms your consent to this screening process.

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Volunteer hours are from 7:30 AM to 2:30 PM. We appreciate your dedication to supporting our mission and serving the community.

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Which volunteer position below are you interested in?
List two personal references not related to you whom you have known for more than one year:
List your most recent volunteer or employment experience:
Dates of Volunteer/Employment
Select the Back-2-School Health Clinic Site(s) you will support?  |  Volunteer Hours: 7:30am - 3:00pm

BEFORE CONTINUING PLEASE VERIFY YOU HAVE SELECTED AT LEAST ONE SITE TO VOLUNTEER

Have you ever been convicted of, or plead nolo contendere, to a driving or criminal offence?
It shall be a misdemeanor of the first degree to fail to disclose (by false statement, misrepresentation, impersonation, or other fraudulent means), any material fact that would be used in making a determination as to a person's qualifications to work as a volunteer.

I understand that, to protect persons served by the Department, a routine check through law enforcement, license bureaus, agency files, and references may be made. I understand that a criminal offense will not automatically exclude me from all volunteer positions; however, certain convictions will exclude me from volunteering in some positions. I understand that if I answered "no" to the criminal offense question on the front of this application, and a record should be obtained, it will prevent me from volunteering for the Department regardless of the offense. I understand upon submission of this application it becomes public record. I understand and agree that all information as it relates to persons served by the Department is to be held confidential in compliance with Florida Statutes. All information that should come to my attention and knowledge as "privileged" and/or "confidential" will not be disclosed to anyone other than authorized personnel, and I shall conduct myself in accordance with the

Department's security policies. I understand that failure to comply may result in criminal prosecution.

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