Adult Volunteer Application

Highlands Ranch Hospital | Inverness Ambulatory Surgery Center | Steadman Hawkins Clinic

Thank you for your desire to give to your community by volunteering at UCHealth Highlands Ranch Hospital and Inverness Ambulatory Surgery Center! We appreciate your desire to share your time and talents to support our patients, staff, and visitors.

Volunteers play a meaningful role in providing comfort and care to patients and their loved ones. We hope your experience with us will be both valuable and rewarding. Our volunteer program offers a variety of opportunities for service in our hospital to individuals ages 16 and up. This application is for volunteer ages 18 and older. If you are 16 or 17 years old, we invite you to apply to our Junior Volunteer program.

We ask all volunteers to commit to 65 hours of service within a six month period (typically one four-hour shift per week). Please note: we do not offer Baby Cuddler, Pediatric, or Child-related volunteer opportunities at UCHealth Highlands Ranch Hospital.

Onboarding Process

Step One: Complete the volunteer application below.

Step Two: You will need two completed references to be eligible to volunteer. References should be individuals who know you well, but they cannot be family members. Notify your references that they will receive an email request to complete a reference for you.

Step Three: Sign up and attend a virtual interview.

Step Four: Complete a Health Screening.

All volunteers are required to have the following vaccines: MMR, Varicella, Tdap, and Influenza each flu season, as well as a negative TB test within the last year. If you do not have your immunization records or are missing immunizations, UCHealth will provide titer tests and assist you in fulfilling the required immunizations.

Step Five: Complete a background check.

Step Six: Complete the volunteer startup checklist, including UCHealth online orientation training modules and review the UCHealth Volunteer Handbook.

Step Seven: Attend an in-person Volunteer Orientation, receive your Volunteer Badge & Uniform.

Step Eight: Start Volunteering!

We look forward to welcoming you to our team!

Volunteer Services - Highlands Ranch Hospital

HRHVolunteers@uchealth.org

New User Details

User ID

User ID (verify)

Password

Password (verify)

CONTACT INFORMATION

* First name

Middle initial

* Last Name

Preferred Name:

Preferred Pronouns

* Street Address:

Apartment #

* City:

* State

* Zip code:

* Date of Birth

* E-mail:

* Cell Phone

Home Phone

Work Phone:

What is the best way to contact you?

* Last 4 Digits of SSN

* Please upload a photo of yourself. We send this photo to the unit(s) you will be working with 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 Employment Status:

Current Employer

Current Position/Title

EDUCATION

Highest level of education completed

College/University Name:

Degree/Major:

EXPERIENCES AND INTERESTS

How did you hear about volunteering at UCHealth?

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:

* VOLUNTEER HOUR COMMITMENT

By checking this box, I confirm that I can commit to completing at least 65 hours of volunteer service within the first year.

AVAILABILITY

Select times when you are available to volunteer: (You may select more than one.)

Please select your location preference

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 VOLUNTEER REFERENCE REQUEST WILL BE SENT TO THE CONTACTS PROVIDED.

References may be from people you know including long-time friends, co-workers, supervisor you have worked with, or people you know from community activities. We do not accept references from relatives.

REFERENCE 1

* Name

* Organization name or relationship to applicant

* E-mail

REFERENCE 2

* Name

* Organization name or relationship to applicant

* E-mail

APPLICANT E-SIGNATURE

I understand and agree that submitting this application form does not automatically register me as a UCHealth Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

PLEASE NOTE: UCHealth Highlands Ranch Hospital does not serve as a community service provider. Court-ordered community service hours will not be accepted or verified.

All adult applicants being considered for volunteering are required to complete an Authorization and Release for a Criminal Background Investigation and a Drug Screening.

If you have been convicted of a Misdemeanor or Felony, you are required to disclose this to the Volunteer Services Office with an explanation of charges.

I certify the facts documented on this application are true and correct without consequential omission. I understand that an offer of volunteer work may be rescinded either before or after my date of assignment pending results received from my background investigation and/or drug screening.

I understand any volunteer assignment with UCHealth Highlands Ranch Hospital is voluntarily entered into and does not constitute a contract of employment, expressed or implied. Further, I understand that my volunteer placement can be terminated at any time.

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.

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