Mt. Sinai St. Luke’s
Mt. Sinai Roosevelt
PARENTAL CONSENT FORM
We are considering the application of your teenager, __________________,
for volunteer service at Mount Sinai Roosevelt or Mt. Sinai St. Luke’s. Once a candidate
has been accepted as a volunteer, a total of 50 hours must be completed. After 50 hours
have been completed we will be happy to write letters of acknowledgement to your
student’s school or other organization that requires proof of volunteering.
All students under the age of 18 years must obtain Working Papers; have proof of their
MMR (Measles, Mumps & Rubella) vaccinations and a Tuberculosis test within the last
Students, ages 15 -18 years, will work under the supervision of the Volunteer
Department. They are permitted to work between the hours of 9:00 AM – 5:00 PM,
Monday through Friday only, unless there is a special occasion or available weekend
volunteer job that is appropriate for the teenager.
If you approve, please sign this conse