Junior volunteer application

Junior Volunteer Application

Thank you for your interest in volunteering at UCHealth University of Colorado Hospital! We are pleased to offer Junior Volunteer opportunities to individuals ages 16 and 17.

New Volunteer Sign-Up Process

Steps 1 - 5 must be completed before moving on to volunteer placement and orientation:

Step One: Complete the online application below.

Step Two: Log into your account and complete the required online education modules and associated quizzes, including HIPAA training.

Step Three: Request an interview by emailing uchvolunteerservices@uchealth.org with the subject line: "Request for a volunteer interview." Small group interviews will be held remotely; access to a computer with a camera is required.

Step Four: Complete the Volunteer Startup Checklist, including reviewing the UCHealth University of Colorado Hospital Volunteer Handbook.

Step Five: Schedule and attend an in-person orientation and department training.

If you have any questions, please call our office at 720.848.1886.

Volunteer Services and Shadowing Department

Jenny Ricklefs, Manager
Amanda Murphy, Coordinator

Email: uchvolunteerservices@uchealth.org
Address: 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 a regular schedule and complete at least 100 hours of volunteer service.

CONTACT INFORMATION

* First name

Middle initial

* Last Name

Preferred Name if different from First Name:

Preferred Pronouns

* Address:

Apartment #

* City:

* State

* Zip code:

* DOB

* E-mail:

* Cell Phone

Home Phone

Work Phone:

What is the best way to contact you?

* Upload a professional-looking headshot of yourself. No need for a professional photographer, just make sure it's appropriate and easy to see your face. Check that it's right-side up! This will be shared with the teams you'll be volunteering with.

EMERGENCY CONTACT

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

* First and Last Name:

* Phone Number:

* E-mail Address:

* Relationship:

EDUCATION

* Current school/institution

* Expected Graduation Date (month/year):

Are you volunteering for school credit?

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:

REFERENCE INFORMATION

Please note: A reference request will be sent to the contacts provided.

REFERENCE 1

* First and Last Name:

* Organization name or relationship to applicant

* E-mail Address:

REFERENCE 2

* First and Last Name:

* Organization name or relationship to applicant

* E-mail Address:

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: