Ombudsman Compendium - Recruitment Appendices
Appendix A - Ombudsman Program Needs and Management Capacity
- Long-Term Care Ombudsman Volunteer Program Procedure Flow Chart (HI SLTCOP)
- Recruitment and Selection Process Outline (Pierce County, WA LTCOP)
- Volunteer Recruitment Steps (OK SLTCOP)
- Recruitment Planning (TX SLTCOP)
Appendix B - Position Descriptions
- NASOP Mission Statement
- Regional Long-Term Care Ombudsman (WA SLTCOP)
- State LTCO Volunteer Coordinator (HI SLTCOP)
- Lead Ombudsman (Salt Lake County, UT LTCOP)
- Certified Volunteer LTCO (Suffolk County, NY LTCOP)
- Volunteer Pharmacist Consultant (Salt Lake County, UT LTCOP)
- Volunteer Ombudsman, Foreign Language Specialist (Northern VA LTCOP)
- Volunteer Ombudsman Mentor (Northern VA LTCOP)
Appendix C Formal - Program Commitments
- Volunteer Commitment Form (LAFMC of Metro Chicago, IL LTCOP)
- Confidentiality Agreement (Salt Lake County, UT LTCOP)
- Conflict of Interest Statement and Ethical Guidelines (OK SLTCOP)
- Statement of Agreement Between Ombudsman Volunteer Representative and LTCOP (HI SLTCOP)
Appendix D - Application Forms
- Volunteer Application (short form) (GA SLTCOP)
- Volunteer Application (long form) (GA SLTCOP)
Appendix E - Recruitment Messages
- The Importance of Key Messages (TX LTCOP)
- Recruitment Ad (OK SLTCOP) - full page; half page
- Recruitment Ad (Salt Lake County, UT LTCOP)
- News Release (MO SLTCOP)
- Recruitment Flyer (Suffolk County, NY LTCOP)
- Volunteer Advocates Needed (Suffolk County, NY LTCOP)
- Volunteer Recruitment Brochure (Snohomish County WA LTCOP)
- Volunteer Recruitment Flyer (Northern VA LTCOP)
- Volunteer Recruitment Flyer for Foreign Language Specialists (Northern VA LTCOP)
Appendix F - Response to Applicant Interest
- Code of Ethics for Long-Term Care Ombudsmen (developed by NASOP)
- Follow-Up Letter (KIPDA District, KY LTCOP)
- Follow-Up Letter (Oklahoma City, OK LTCOP)
Appendix G - Conflict of Interest
- GA LTCOP Policies and Procedures - Section on Conflict of Interest (GA SLTCOP)
- Conflict of Interest Screen (OH SLTCOP)
Appendix H - Interview Questions
- Sample Interview Tool for Ombudsman Volunteer Supervisor (OK SLTCOP)
- Ombudsman Volunteer Interview Form (Northern VA LTCOP)
Appendix I - Reference and Criminal Background Checks
- Reference Request Letter (Salt Lake County, UT LTCOP)
- Volunteer Reference Form (Snohomish County WA LTCOP)
- Questions for Volunteer Reference (Snohomish County WA LTCOP)
- Criminal Background Check Overview (MN SLTCOP)