Staff volunteer application

Staff Volunteer Application

Thank you for your interest in volunteering with UCHealth University of Colorado Hospital. 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. This application is for UCHealth staff who wish to volunteer beyond their primary staff role.

New Volunteer Sign Up Process for UCHealth Staff Members

UCHealth staff members have a professional email address ending in "@uchealth.org". This email should be used to complete your volunteer application.

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

Step One: Complete the online application below.

Step Two: Review the University of Colorado Volunteer Handbook.

Step Three: Log into your account and complete the online required education modules and their associated quizzes. Complete the HIPAA training.

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

Handbook acknowledgement form.
Dress Code
Confidentiality Agreement
Code of Conduct
Uniform and Badge Policy

Step Five: Email uchvolunteerservices@uchealth.org to request an interview. Your interview can be virtual or in-person based on your preference.

Step Six : Complete the Volunteer Startup Checklist.

Step Seven: Schedule in-person orientation and department training.

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 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:

* State

* Zip code:

* DOB

* Last 4 Digits of SSN

* E-mail:

* Cell Phone

Home Phone

Work Phone:

What is the best way to contact you?

* 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 Employement Status:

* Current Employer

* Current Position/Title

EDUCATION

Highest level of education completed

College/University Name:

Degree/Major:

Are you an RN?

Do you have your CNA?

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:

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?

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

* Staff 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.

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

* Date: