Junior Volunteer Application

Thank you for your interest in volunteering for UCHealth University of Colorado Hospital. This application is appropriate for volunteer ages 16 and 17. 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. Volunteers ages 16 and 17 must have daytime availability during office hours. Office hours are from 8am to 4:30pm, Monday through Fridays. Junior Volunteers may not volunteer on evenings or weekends.

Please note, this is different than applying for the UCHealth Summer Teen Volunteer Program. The application for that program will be available beginning in mid-February through first week in April for the following summer session. For more information on the differences between the programs, click What is the difference between the Summer Teen Program and Junior Volunteers?

Next Steps

New Volunteers should begin the application process with the "to do" list here:

Step One: Complete the online 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: Review the University of Colorado Volunteer Handbook.

Step Four: Log into your account and complete the required education modules (3) with the associated quizzes. Complete HIPAA training.

Step Five: Log into your account to read and complete the following agreements:

Handbook Acknowledgement
Dress Code
Confidentiality Agreement
Code of Conduct
Uniform and Badge Policy

Step Six: Request an interview. Email uchvolunteerservices@uchealth.org with the subject line: "Request for a volunteer interview ". Interviews will be conducted remotely. You will need access to a computer and camera for your interview.

Step Seven: Complete the Volunteer Startup Checklist.

Step Eight: Schedule your first day to complete an in-person orientation.

Disclaimer: If this to-do list 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 and Shadowing Department
Jenny Ricklefs, Manager
Amanda Murphy, Coordinator
April Phinny, Coordinator

uchvolunteerservices@uchealth.org
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 within the first year.

CONTACT INFORMATION

* First name

Middle initial

* Last Name

Preferred Name if different from First Name:

Preferred Pronouns

* Address:

Apartment #

* City:

* Zip code:

* DOB

* 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(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:

* Emergency contact E-mail

* Relationship

EDUCATION

* Current school/institution

* Expected Graduation Date (month/year):

How did you hear about volunteering at UCHealth?

To help us facilitate the interview process, please complete the following questions:

* Why do you wish to volunteer at UCHealth - University of Colorado Hospital?

* What are your expectations of your volunteer experience?

* What type of volunteer work have your 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 do you work?

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 University of Colorado Hospital:

AVAILABILITY

Select times when you are available to volunteer:

REFERENCE INFORMATION

PLEASE NOTE: A VOLUNTEER REFERENCE REQUEST WILL BE SENT TO THE CONTACTS PROVIDED.

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 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.

* High School Student 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.

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

* Date: