Adult Volunteer Application

Thank you for your interest in volunteering at UCHealth University of Colorado Hospital!

Volunteers play an important and meaningful role in providing care to patients and their loved ones. We hope you find your experience here to be valuable and worthwhile. Our volunteer program offers a variety of opportunities for service in our hospital to men and women, ages 16 and up. Our needs vary according to specific departments. View a list of current opportunities here. We try to match volunteers with their interests to ensure a positive experience for both the volunteer and the hospital.

Many applicants choose to volunteer during the summer and complete their 100 hours at that time. This is a great option!

To qualify as a summer volunteer, please make sure you are able to:

Complete three shifts each week, with each shift lasting four hours.
Keep the same weekly schedule.
Complete at least 100 hours during the summer.
Be available for at least 9 weeks.

New Volunteer Sign-Up Process

Steps 1 - 5 must be completed before moving on to volunteer placement and orientation:

Step One: Complete the online application below.

Step Two: Log into your account and complete the required online education modules and associated quizzes, including HIPAA training.

Step Three: Request an interview by emailing uchvolunteerservices@uchealth.org with the subject line: "Request for a volunteer interview." Small group interviews will be held remotely; access to a computer with a camera is required.

Step Four: Complete the Volunteer Startup Checklist, including reviewing the UCHealth University of Colorado Hospital Volunteer Handbook.

Step Five: Schedule and attend an in-person orientation and department training.

**For summer season volunteers: Orientations will be scheduled throughout the month of May. The final orientation date for the summer will be Saturday, June 6th.

If you have any questions, please call our office at 720-848-1886.

Volunteer Services and Shadowing Department

Jenny Ricklefs, Manager
Amanda Murphy, Coordinator

Email: uchvolunteerservices@uchealth.org
Address: 12605 East 16th Ave, Mail Stop F771, Aurora, CO 80045

New User Details

User ID

User ID (verify)

Password

Password (verify)

* 100 HOUR COMMITMENT

By checking this box, I confirm that I can commit to completing at least 100 hours of volunteer service.

Volunteer Timeframe

CONTACT INFORMATION

* First Name

Middle initial

* Last Name

Preferred Name if different from First Name:

Preferred Pronouns

* Address:

Apartment #

* City:

* State

* Zip code:

* DOB

* Last 4 Digits of SSN

* E-mail:

* Cell Phone

Home Phone

Work Phone:

What is the best way to contact you?

* Upload a professional-looking headshot of yourself. No need for a professional photographer, just make sure it's appropriate and easy to see your face. Check that it's right-side up! This will be shared with the teams you'll be volunteering with.

EMERGENCY CONTACT

Please provide the name and number of someone we may contact in case of an emergency.

* First and Last Name:

* Phone Number:

* Relationship:

EMPLOYMENT STATUS

Select your Employment Status:

Current Employer

Current Position/Title

EDUCATION

Highest level of education completed

College/University Name:

Degree/Major:

How did you hear about volunteering at UCHealth?

EXPERIENCES AND INTERESTS

Patient Care Services

Clerical Skills

Other Skills

Other skills, interests or special training:

Identify any special skills that might add to your volunteer experience at UCHealth:

To expedite the interview process, please answer the following questions.

* Why do you wish to volunteer at UCHealth?

* What previous volunteer experiences do you have, what challenges did you meet and how did you make a difference for others?

* Tell about a time in your work life or volunteer life when you worked on a team. What role did you play and why?

* What are your three greatest accomplishments in your life so far?

* What special, wonderful and unique qualities will you bring to make a difference for our patients?

REFERENCE INFORMATION

Please note: A reference request will be sent to the contacts provided.

References may be from people you know including long-time friends, co-workers, supervisors you have worked with, or people you know from community activities. References from relatives will not be accepted.

REFERENCE 1

* First and Last Name:

* Organization name or relationship to applicant:

* E-mail Address:

REFERENCE 2

* First and Last Name:

* Organization name or relationship to applicant:

* E-mail Address:

APPLICANT E-SIGNATURE

I acknowledge that I am volunteering of my own free will and do not expect any monetary reimbursement. I verify that the information provided is accurate to the best of my knowledge. I authorize UCHealth and its agents to confirm all information provided on the application.

* Adult Applicant - please type your name in this field as a form of electronic signature

PHOTO CONSENT: This is to certify that I give permission to UCHealth to use my image for news media, marketing, public relations, and/or hospital business purposes.

* Adult Applicant - please type your name in this field as a form of electronic signature

* Date: