College of Medicine

Volunteer Checklist

VOLUNTEER
DEPARTMENT
NAME: CONTACT NAME:
DEPARTMENT: PHONE:
UFID: EMAIL:

 

REQUIREMENTS FOR PROCESSING:

  Record of Volunteer Service
  Emergency Contact
  HIPPA Training Certificate
  Confidentiality Statement
  Copy of Drivers License
  UF Supervisor Checklist for Adding HAMS records
  Gator 1 Card - (do not send to Dean's Office)
  Copy of I-94 card if foreign national
  Professional Liability Questionnaire for Volunteer Workers
  Health Assessment is required if volunteer has patient or animal contact

Attach this checklist to your appointment form and return to

Office of the Dean College of Medicine, P.O. Box 100005, Room G1-016


Last updated 10/03/08

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