Therapy Team Volunteer Application for Handlers

Thank you for your interest in volunteering at UCHealth at University of Colorado Hospital with your Therapy Dog. Therapy Dogs and their handlers play an important and meaningful role in providing service to patients and their loved ones. We hope you find your experience here to be valuable and worthwhile.

New Volunteer Sign Up Process

New Volunteer Online Orientation is provided below for you to access required information necessary to begin volunteering with University of Colorado Hospital. Steps 1- 8 need to be completed before moving onto placement and in-person orientation.

New Volunteers should begin the application/orientation process here!

Step One: Complete the online application below.

Step Two: Download the Reference form and send it to two individuals to complete and return to us.

Step Three: Watch this video, please go to this link:https://youtu.be/Bzl5U68guWw

Step Four: Read the University of Colorado Volunteer Handbook

Step Five: Log into your account and complete the Online Orientation trainings (2) with the associated quizzes and the HIPAA training.

Step Six: Log into your account and read and complete the following Agreements:

Handbook and PowerPoint acknowledgement form

Dress Code

Confidentiality Agreement

Uniform and Badge Policy

Step Seven: Request an in-person interview.
Email: Melissa.Strickland@UCHealth.org Subject: Request for an in-person interview.

Step Eight: Set-up in-person orientation and department training. Background check for those 18 and older will be completed at in-person interview.

**Disclaimer: If this process is not completed within 30 days, we reserve the right to remove your application from our records and discontinue the process.

If you have any questions, please feel free to call our office at 720.848.1886.

Volunteer Services Department
Jenny Ricklefs, Manager 720.848.4068, Jennifer.Ricklefs@uchealth.org
Melissa Strickland,Coordinator 720.848.4070, Melissa.Strickland@uchealth.org
12605 East 16th Ave, Mail Stop F771, Aurora CO 80045

Required fields are noted in red.

User ID

User ID (verify)

Password

Password (verify)

CONTACT INFORMATION

* First name

Middle initial

* Last Name

Preferred Name if different from First Name:

Gender

* Address:

Apartment #

* City:

* State

* Zip code:

* DOB

* SSN

* E-mail:

* Cell Phone

Home Phone

Work Phone:

What is the best way to contact you?

Please upload a photo of yourself, make sure it is loaded upright. We send this photo to the unit you will be working to help them prepare.

EMERGENCY CONTACT

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

* Name:

* Phone:

* Relationship

EMPLOYMENT STATUS

Select your Employement Status:

Current Employer

Current Position/Title

EDUCATION

Highest level of education completed

College/University Name:

Degree/Major:

* Why do you wish to volunteer at UCHealth?

* List any previous volunteer experience:

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:

AVAILABILITY

Select times when you are available to volunteer:

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 - Metro Denver and its agents to confirm all information provided on the application.

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

* Date:

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

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

* Date: