VOLUNTEER & INTERN/EXTERN CHECKLIST FOR CLEARANCE

Transcription

1 VOLUNTEER & INTERN/EXTERN CHECKLIST FOR CLEARANCE All items required to begin service Fill out online application ( > Careers > Volunteer s> Application Process) Send background check request form to Volunteer Coordinator Provide TB test results (recent within six months) Provide a signed copy of the Hepatitis B consent/declination form Send JPG headshot photo to Volunteer Coordinator Volunteer Coordinator Contact Information Volunteer Coordinator Community HealthCorps Sea Mar Community Health Centers 9635 Des Moines Memorial Dr. STE. C Seattle, WA Phone: x Fax: Volunteer@seamarchc.org 1

2 2

3 3

4 For Sea Mar Providers To the providers, This person is in the process of becoming a Sea Mar volunteer. In order to be cleared to begin their service, they will need a TB test read in millimeters (mm) that is recent within 6 months. Once completed please fax or scan the form to the Volunteer Coordinator (info below). Please assist this volunteer and thank you for your help! Regards, Volunteer Coordinator Sea Mar Community Health Centers 9635 Des Moines Memorial Dr. STE. C Seattle, WA Phone: x Fax: Volunteer@seamarchc.org To the providers, For non-sea Mar Providers This person is in the process of becoming a Sea Mar volunteer. In order to be cleared to begin their service, they need a TB test read in millimeters (mm) that is recent within 6 months. Please assist this volunteer and thank you for your help! Regards, Volunteer Coordinator Sea Mar Community Health Centers 9635 Des Moines Memorial Dr. STE. C Seattle, WA Phone: x Fax: Volunteer@seamarchc.org v 4

5 Instructions for Headshot picture Please take a JPEG headshot photo in front of a white background (i.e. white wall). Most people find it easiest to take & send with their cell phones. Please keep photos professional this will be used for your official Sea Mar badge. This should be sent to Volunteer Coordinator as an attachment on an with your name as the name of the file. volunteer@seamarchc.org FREQUENTLY ASKED QUESTIONS I just submitted my online volunteer/intern/extern application. When can I turn in my paperwork? You may begin submitting your paperwork as soon as possible. The placement process cannot begin until we have received all of your paperwork. I already have background check results. Can I submit those? No. All background checks for volunteers/interns/externs with Sea Mar must be run internally by our office. Please fill out the Sea Mar Background Check Request form and send it along with your other clearance paperwork. I have TB test results from 6 months ago or longer. Can I send those in? No. We cannot accept TB test results that are not recent within the last 6 months. Does Sea Mar pay for TB testing for volunteers/interns/externs? Yes, Sea Mar does cover the cost of TB testing. Do I need to make an appointment with Sea Mar or my own provider for TB testing? Some clinics require that you make an appointment while others accept walk-ins. We recommend calling ahead of time to make an appointment. What should I bring with me to my appointment? Make sure to take the letter included in this packet to your provider along with the clearance form for their signature. Once you receive the results of your test, make sure your provider signs off on the clearance form before sending it in to the Volunteer Department. What if I test positive for TB? If you test positive for TB, the provider will have you scheduled for a chest X-Ray to evaluate whether or not the TB is latent or active. If the TB is latent, you will be cleared once our office receives a copy of your chest X-Ray results. If the TB is active, you will need to start treatment immediately. Does Sea Mar pay for treatment for volunteers/interns/externs with positive TB tests? This is situational. If you are a current Sea Mar volunteer who has already been cleared, and you test positive for TB at your 6 month checkup, Sea Mar will pay for the cost of your treatment. However, if you have not volunteered with us before and are in the process of applying, Sea Mar will not cover the cost of treatment should you test positive for TB. 5

6 Volunteer & Intern/Extern Clearance Form To be filled out by the Provider Volunteer Name: Volunteer Site: REQUIRED - Please check one: Annual Screening or New Volunteer Screening The volunteer has been screened for TB and is cleared to start. REQUIRED - Please check one: YES or NO Follow up needed: Return for Chest X-Ray None needed X Date: Provider s Signature (MD, ARNP, PA, RN, LPN, MA) 6