If you are neither a U.S. Citizen nor Green Card holder, you will need clearance from the Mount Sinai International
Personnel (IP) Department prior to being placed as a volunteer.
If you are an International Applicant, please fill out:
Please indicate highest level degree.
CONNECTIONS TO MOUNT SINAI
MORE ABOUT YOU
Thank you for your interest in becoming a Mount Sinai Research Volunteer. Due to program limitations, we are only able to accept applications from people who already have assignments with a Principal Investigator (PI) at this time. If you have not already secured a placement in a laboratory or as part of a clinical research team, then we are unable to process your application.
Please select the Mount Sinai Health System site where you will be volunteering.
Please select the research fields you are interested in. Check all that apply
If so, which language(s)?
OTHER SPECIAL SKILLS OR QUALIFICATIONS
AGREEMENT
I understand and agree that:
- I certify that the information contained in this application is correct to the best of my knowledge. I
authorize
investigation of all matters contained in this application and agree that any misleading or false statements
could
be cause for rejection of this application or would be sufficient cause for dismissal from a volunteer
placement
at the Mount Sinai Hospital. I understand that my volunteer placement is contingent upon satisfactory
completion
of a toxicology screening and a health screening by a Mount Sinai Employee Health Service practitioner or
private physician, the receipt by Mount Sinai of a satisfactory reference and my satisfactory completion of
the probation
period. I hereby authorize my present/past employers to furnish Mount Sinai with my records of service.
- If I am accepted as a volunteer, I authorize Mount Sinai Hospital to conduct any and all verifications as
permitted by Federal, State and municipal codes and regulations. I agree to abide by all Mount Sinai rules
and regulations. I agree
to follow Mount Sinai policies with respect to a drug-free workplace and I affirm that I do not use
un-prescribed
controlled substances and/or any illegal substances. I understand that my volunteer service is not governed
by any
written or oral contract and is considered an "at will" arrangement. This means that I am free, as is Mount
Sinai, to terminate the volunteer relationship for any or no reason, as long as there is no violation of
applicable Federal, State
or Local law.
- I understand that the volunteer clearance process is highly selective and that the completion of the
volunteer application does not guarantee a volunteer placement at Mount Sinai Health System.
In consideration of any volunteer opportunity which may be offered to me, I agree to comply with the policies,
rules, regulations and procedures of Mount Sinai.
This application will remain current for 90 days. If I have not then been on boarded as a volunteer by Mount
Sinai within this timeframe, I understand that I may need submit a new application to remain eligible for
volunteer consideration.
My name below will stand as my signature, confirming the completeness and accuracy of the information
I provided above, and will carry the same force and effect as if it were signed and affixed by my hand.
