Skip to Main Content

Volunteer Placement Interview Checklist

You must bring this checklist, along with the required forms, to your placement interview. Volunteers missing required documents will not be placed.

For ALL Volunteers:

  • Provide a copy of one (1) form of identity: Driver’s License, Social security card, valid passport, or birth certificate
  • Signed copy of Volunteer Expectations (will be provided at orientation)
  • Proof of Flu Vaccination (Required November – April)
  • Signed Confidentiality form (will be provided at orientation)
  • Signed Media Consent (will be provided at orientation)
  • Certificate of Completion for HIPPA & Privacy (will be provided at orientation)
  • Release of Background Check (will be provided at interview)
  • Certificate of Completion for Good Samaritan Volunteer Orientation (will be provided at orientation)

Supplemental Forms (for Pet Therapy Volunteers ONLY):

  • Copy of Dog’s Therapy Certification
  • Copy of Dog’s immunization records 

Print Name: _____________________________________________

Name of Volunteer: _______________________________________

Relationship to Volunteer: _________________________________

Additional Resources