PROCEDURES FOR VOLUNTEER PROGRAM - ACADEMIC The Volunteer Program is designed to provide a learning/work experience beneficial to the volunteer, as well as to the UTMB academic areas. A mechanism to bring volunteers into the academic areas is in place. A request to appoint a volunteer should be initiated by the head of the Department, Institute, Center or Service Area to the Dean of Medicine who will provide final approval. 1. Prepare a request memo to the Dean of Medicine with an approval line for the Dean. The Volunteer Program Agreement (attached) should be completed and forwarded to the Dean of Medicine at this time also. The request memo should include the following: A. B. C. D. E. F. G. name of prospective volunteer name of the designated sponsor of the volunteer description of work which supports learning experience description of benefits to hiring department and to volunteer beginning and ending dates of volunteer service; hours to be worked per week acknowledgement that there is space and necessary equipment available for volunteer acknowledgement that the sponsoring department will present an orientation program to all volunteers NOTE: A copy of this memo will be returned to the School, Institute or Center after final approval. Volunteer should sign/accept terms following department’s notification and receipt of Dr. Jacobs’ approval. Include “Description of work to support learning experience” in body of the email, to HR Recruitment, requesting approval of WOS Checklist. Faculty Relations will request Dr. Jacobs’ approval after receiving HR Approved WOS Checklist. 2. Once approval has been received, HCM appointment documents will be prepared by the sponsoring entity to appoint the volunteer. Please use the title "Volunteer" - Job Code N0843. 3. It is the responsibility of the Department, Institute, Center or Service Area to develop and present an orientation to volunteers. The volunteer must also attend an orientation coordinated by the Department of Human Resources to familiarize himself/herself with applicable UTMB policies. Call your assigned recruiter in the Employment section of Human Resources Department to schedule UTMB Orientation 4. Provide a copy of "The Balance of Rights and Responsibilities Between Volunteers and UTMB Employees" to all volunteers. 5. The volunteer is required to obtain an identification badge from the Security office, and have a health assessment completed by Employee Health. Page 1 of 4 Oct 2014 VOLUNTEER PROGRAM AGREEMENT The University of Texas Medical Branch at Galveston As a volunteer, in the Department of ______________, under the supervision of undersigned UTMB sponsor and will perform tasks which will be determined by the sponsor and accepted by me. The purpose of the volunteer status is to gain knowledge, hands-on experience and/or an opportunity to observe in a field related to my future career plans. As a volunteer with the University of Texas Medical Branch (UTMB), I understand that there is no employeeemployer relationship and that my status as a volunteer may be terminated by myself, my sponsor, or the department in which I volunteer at any time with or without cause. In a volunteer status, I will not have any benefits for which a UTMB employee is covered such as Workers Compensation Insurance and Unemployment Insurance. I further understand that there is no current or future commitment for employment at UTMB. I understand my appointment to volunteer is contingent upon satisfactory reference verification, a preemployment drug screen, criminal background check, education verification, and my ability to produce proper identity and work authorization documents, as specified in the Immigration, Reform and Control Act of 1986. As a volunteer I must attend an orientation coordinated by the Human Resources Department to familiarize myself with applicable UTMB policies, including but not limited to such items as confidentiality, personal dress, disorderly conduct and other items which also apply to UTMB staff. This will be scheduled by my sponsor with the Faculty Recruitment division of Faculty Relations. PLEASE PRINT: Volunteer: Sponsor: Description of work to support learning experience: Description of benefits to hiring department and to volunteer: APPOINTMENT Begin Date End Date DEPARTMENT ACKNOWLEDGES/AGREES TO PROVIDE # Work Hours Weekly Adequate Space/Equipment Departmental Orientation ATTACHMENTS TAM CHECKLIST □ Address: CV/RESUME □ HR-APPROVED WOS CHECKLIST □ Title: Volunteer Department/Division: Extension: Page 2 of 4 Oct 2014 THE UNDERSIGNED AGREE TO STIPULATIONS SET FORTH IN THS AGREEMENT: Sponsor: Date: Chair/Administrator: Date: Danny O. Jacobs, MD, MPH, FACS Executive Vice President and Provost Dean, School of Medicine Thomas N. & Gleaves T. James Distinguished Chair Volunteer: Date: Date: Page 3 of 4 Oct 2014 VOLUNTEER PROGRAM - ACADEMIC THE BALANCE OF RIGHTS AND RESPONSIBILITIES BETWEEN VOLUNTEERS AND UTMB EMPLOYEES THE VOLUNTEER HAS THE RIGHT TO: a learning experience that is worthwhile and challenging THE RESPONSIBILITY TO: know his/her limits be trusted with necessary confidential information respect confidences expect that his/her tasks have been planned for follow departmental and institutional guidelines and work as a team player an assignment that will promote learning and growth prepare for each work assignment, use time wisely and do not interfere with another’s performance orientation and training acknowledge the need for training and participate fully receive advice and support from a designated sponsor as deemed reasonably necessary by sponsor consult with sponsor when unclear on policy or action THE UTMB EMPLOYEE/SPONSOR HAS THE RIGHT TO: decline any volunteer reasonably found unsuitable expect that the volunteer will complete assignments give the volunteer instructions as to how the work is to be done THE RESPONSIBILITY TO: make all expectations known ahead of time provide for reasonably adequate time and training for each assignment make sure the volunteer understands the task evaluate the volunteer’s performance set and maintain standards demand quality performance provide feedback in constructive terms receive advice and support from a designated sponsor as deemed reasonably necessary by sponsor allocate supporting resources; give recognition for work done provide adequate work space Page 4 of 4 Oct 2014