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Thank you so much for your interest! This application form is for BIDMC employees,OR for candidates who have been pre-screened and/or are being sponsored by a BIDMC department. If you have questions about whether this is the appropriate form for you to complete, please contact Caroline Moore at cpmoore@bidmc.harvard.edu. 

Please complete all required fields (and other fields as applicable). Please make a note of the password you choose, as you may need to use it to login to the Volunteer Portal in the future.  

Personal Information
Emergency Information
Employment Information
Volunteer Experience and Education
If you are currently a student, please complete this section.
Interest and Availability
PLEASE READ CAREFULLY AND SIGN THE STATEMENT BELOW
I certify that the information given above is true and complete and I understand that misrepresentation and/or withholding of information will result in the rejection of this application or my discharge if discovered after volunteer service begins.  I authorize the Medical Center to make inquiries regarding my history and character of prior employers, schools, etc. and hereby release employers, schools or individuals from all liability in responding to inquiries in connection with my application and release the Medical Center from all liability with respect to such inquiries.
I understand that if I am a volunteer, I will be a volunteer "at will" and may terminate my volunteer assignment at any time with or without cause or notice and that the Medical Center also has that right. I also understand no representative of the Medical Center, other than the President, has any authority to enter into any agreement for volunteer service for any specified period of time or to make any agreement contrary to the foregoing and that such agreement must be in writing. As a volunteer, I agree to abide by the Medical Center's policies, rules and procedures and any changes thereto.
I understand that I must provide the Medical Center with updated immunization records that include verification of a Tuberculosis test within the past year. If under 18 years of age, please use the enclosed parental consent form.
Please sign your name by holding your right mouse button and moving it around to create your e-signature