Volunteer at St. Jude
After completing this form, please complete the Volunteer Services Participant Agreement.
Asterisk (*) indicates a required field.
As a workforce member (as defined under HIPAA) of St. Jude Children's Research Hospital (SJCRH), I understand that I may have access to certain confidential, health, financial, proprietary, research, patient or operational information of SJCRH, its employees and the patients and their families (collectively known as "Confidential Information"). I further acknowledge that SJCRH has a legal and ethical obligation to protect this Confidential Information. This same obligation applies to me while as a volunteer of St. Jude Children's Research Hospital.
In recognition of this responsibility, which constitutes an essential function as a volunteer of St. Jude Children's Research Hospital, I agree as follows:
My initials below acknowledge that I understand the obligations imposed upon me by this Agreement, and I agree to comply with all the terms of this Agreement.