Teen Volunteer Application

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

Thank you for your interest in volunteering atHighlands Ranch Hospital and the Inverness Ambulatory Surgery Center!We appreciate your willingness to donate your time and talents to support our patients, staff, and visitors. We hope your experience here is both meaningful and rewarding.

This application is appropriate for volunteers aged 16-18 who are currently in high school.

**Please note: Due to the high volume of applications, we currently have more applicants than available positions. Because we are committed to matching each volunteer with a role that best suits their skills and interests, not all applicants will be accepted .**

Qualifications to apply

To be eligible for the Junior Volunteer Program, applicants must meet these requirements:

Applicants must be at least 16 years old and in high school.
Commit to volunteering for at least 6 months, completing two or more shifts per month, or a minimum of 65 hours.
Must be available to volunteer during office hours. Office hours are 8 am-4 pm, Monday through Friday.
- Junior volunteers may not volunteer on evenings or weekends.
Complete all onboarding steps within 2 months of applying.

By submitting an application, you confirm that you meet these minimum requirements.

Onboarding Process

Step One: Complete the application below.

Step Two: Download the Junior Volunteer Parent/Guardian Consent Form, sign where applicable, and have your parent/guardian sign. Once complete, please upload this to your profile.

Step Three: Notify your references that they will receive an email request for a reference.

Step Four: Sign up and attend a virtual interview.

Step Five: Complete a Health Screening.

All volunteers are required to have the following vaccines: MMR, Varicella, Tdap, and Influenza during 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 Six: Complete the volunteer startup checklist, including UCHealth orientation modules and reviewing the UCHealth Volunteer Handbook.

Step Seven: Schedule and 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

* Address:

Apartment #

* City:

* State

* Zip code:

* Date of Birth

* E-mail:

* Cell Phone

Home Phone

Preferred contact method:

* 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

EDUCATION

* Current school/institution:

* Expected Graduation Date:

EXPERIENCES AND INTERESTS

Patient Care Services

Clerical Skills

Other Skills

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

EMPLOYMENT STATUS

Do you have a job?

* VOLUNTEER HOUR COMMITMENT

By checking this box, I confirm that I am able to commit to completing at least 65 hours of volunteer service within six months.

I understand that as a Junior volunteer, I must be available to serve during daytime week-day hours. I am able to arrive before 2 pm, Monday through Friday, on a recurring schedule. I acknowledge that Junior volunteers are not permitted to volunteer on evenings or weekends.

I also understand that volunteer placements are determined based on hospital need and on my availability.

How did you hear about volunteering at UCHealth?

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

* Why do you wish to volunteer at UCHealth - Highlands Ranch Hospital?

* What are your expectations of your volunteer experience?

* What type of volunteer work have you done before?

* What type of school projects or programs have you been involved with, and what did you enjoy about them?

* Are you/will you be working? If so, where?

AVAILABILITY

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

REFERENCE INFORMATION

Volunteer applications require two (2) references. A volunteer reference request will be sent to the contacts provided. PLEASE NOTE: References may be from people you know including long-time friends, co-workers, supervisors, or people you know from the community. References from relatives will NOT be accepted.

REFERENCE 1

* Name

* Relationship to applicant

* Email address

* Phone number for your 1st reference

REFERENCE 2

* Name

* Relationship to applicant

* Email address

* Phone number for your 2nd refernce

APPLICANT E-SIGNATURE

I understand and agree that submitting this application form does not automatically register me as a UCHealth Highlands Ranch Hospital 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.

NOTE: UCHEALTH HIGHLANDS RANCH HOSPITAL DOES NOT PARTICIPATE AS A COMMUNITY SERVICE PROVIDER. NO COURT-ORDERED COMMUNITY SERVICE WILL BE ACCEPTED OR VALIDATED.

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 could be terminated at any time

Submitting an application through the website constitutes your electronic signature. Any record containing an electronic signature shall be deemed for all purposes to have been 'signed', and will constitute an 'original' when printed from electronic records established and maintained by UCHealth Highlands Ranch Hospital in the normal course of business. Upon UCHealth Highlands Ranch Hospital's request, User agrees to sign or place User's signature on any paper original of any electronic record that UCHealth Highlands Ranch Hospital provides to user containing user's purported 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.

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Electronic Signature