Please fill out the electronic application below. Fields with an asterisk(*) are required.
I certify that all information provided on this application is true, correct and complete. I understand that omission or falsification of information is grounds for refusal of my volunteer service or for my dismissal from volunteer service upon discovery. I authorize Planned Parenthood South Texas, and any of its subsidiaries, (Planned Parenthood Cameron County, Planned Parenthood San Antonio, Planned Parenthood South Texas Physician’s Group, Planned Parenthood South Texas Surgical Center) to verify all of the information contained in this application and consent to communications with individuals and companies to verify this data and obtain other information / references / background checks on my suitability as a volunteer. I release Planned Parenthood South Texas, and any of its subsidiaries, (Planned Parenthood Cameron County, Planned Parenthood San Antonio, Planned Parenthood South Texas Physician’s Group, Planned Parenthood South Texas Surgical Center) and any individuals / companies confirming data and providing information about me from any claim or liability.
I agree to comply with Planned Parenthood South Texas’ rules and regulations. I agree to respect the confidentiality of all patient/client/donor information which I gain either directly or indirectly in my work. I understand that Planned Parenthood South Texas is an agency of inclusion – with equality and respect given to all individuals, regardless of their age, color, religion, disability, gender, gender identity, national origin, physical characteristics, race and ethnicity, sexual orientation, marital status or socioeconomic status. Planned Parenthood South Texas embraces diversity and appreciates the differences each individual brings to the agency. I understand that discrimination of any kind will not be tolerated. I understand that any breach of this agreement constitutes grounds for immediate dismissal.