MyImpactPage - Northern Health Group/ Performer Volunteer Application Form

Volunteer Application (Entertainers, Performers, and Community Groups)

Thank you for your interest in volunteering!

This application form is only for Entertainers, Performers, or Community Groups (church choirs, school groups etc.) who wish to volunteer their time at NH. Only one representative is required for a Group.

If you are not an entertainer or performance group, or if you need more information before you apply, please return to our volunteer home page.

Note: this application must be completed in one sitting.

By continuing with this application, I am acknowledging on behalf of all group members that they understand and agree with the conditions below. If any group members are age 15 and under, I will ensure appropriate parental consent is in place and oversight is provided by a designated adult during their time at Northern Health.

As the contact for the group, I will distribute all information and/or direction received from Northern Health Authority to each group member. Members will only volunteer during a scheduled group activity and not individually. If any member wishes to volunteer individually they must complete an individual volunteer application and submit to the required screening process.

CONFIDENTIALITY

All volunteers must adhere to relevant Northern Health policies, including Confidentiality and Privacy. During their association with Northern Health Authority, group members may have access to information about clients (the term "client" includes patients and residents) and clients' families. At all times, group members will respect the privacy of clients and their families, treating all information about clients and their families as confidential. Group members will not take photos or video recordings of clients. Group members understand that they are prohibited from disclosures of any kind.

Group members understand and agree to abide by the conditions outlined, which will remain in force even if they cease to have an association with Northern Health Authority. Members understand that if any of these conditions are breached, privileges/association to Northern Health Authority may be terminated.

INFECTION CONTROL

All volunteers must abide by Northern Health's infection control requirements, which may change from time to time.

All group members are required to have an annual flu vaccination or wear a mask during flu season (approximately December 1 to March 31st) and be able to provide proof if requested.
All group members must be healthy and free of transmissible illness, not presenting with symptoms such as persistent cough, sore throat, diarrhea, nausea, fever, runny nose etc. during the course of their volunteer activities.
Immunization requirements or screening for infectious disease may be updated from time to time or in specific locations. The group will comply with any current requirements.

Recommended Immunizations:

We do not screen for vaccines to the following diseases, but for the health and well-being of your group, we want to let you know that the BC Centre for Disease Control recommends that all health care volunteers be up to date and fully immunized for measles, mumps, rubella, chickenpox and hepatitis B (routine childhood immunizations). Being in a healthcare environment can increase exposure to infectious diseases.

PROTECTING YOUR PRIVACY

I give Northern Health Authority permission to keep a record of my confidential personal information. Read Northern Health's Privacy Statement.

I am new to MyImpactPage.com

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