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.

Please note: we do not offer Baby Cuddler, Pediatric, or Child-related volunteer opportunities at UCHealth Highlands Ranch Hospital.

Before You Apply
Please make sure you meet the following criteria:
You are 18 years or older and have graduated high school.
If not, please complete the Junior Volunteer Application.
You are able to commit to 65 hours of service within a six month period (typically one shift per week).

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.

Step Three: Attend a virtual interview/information session.
Step Four: Complete a Health Screening:
All volunteers are required to have the following vaccines: MMR, Varicella, Hepatitis B, Tdap, Influenza each flu season, and 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 UCHealth orientation training modules onlinea and review the UCHealth Volunteer Handbook.
Step Seven: Attend an in-person Volunteer Orientation, receive your Volunteer Badge & Uniform.
Step Eight: Start Volunteering!

Disclaimer: If this to-do list is not completed within 60 days, we reserve the right to remove your application from our records and discontinue the process.

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

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.

* 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.

How did you hear about volunteering at UCHealth?

EMERGENCY CONTACT

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

* Name:

* Phone:

* Relationship

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:

EMPLOYMENT STATUS

Select your Employment Status:

Current Employer

Current Position/Title

EDUCATION

Highest level of education completed

College/University Name:

Degree/Major:

AVAILABILITY

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

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. No references from relatives will be accepted.

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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