Who Volunteers at Southern Hills Hospital?

Special people just like you! Our dedicated and dynamic volunteers come from all walks of life, bringing a variety of skills and abilities with them to help improve the lives of others. Volunteers at Southern Hills include retirees, professionals, former patients, homemakers, military personnel and students who share a common goal: to help others.


We are looking for volunteers wanting and willing to provide exceptional customer service to the patients, guests and staff at Southern Hills Hospital. We have opportunities for volunteers to greet guests, serve patients and provide clerical expertise.


Application Process:

• By submitting an application you are not automatically registered as a volunteer.

• Please note the application process takes approximately 3 to 4 weeks to complete.

• Acceptance into the volunteer program is contingent upon complete application, a reference, an interview, a statement of health, attendance at Volunteer Orientation training and a background check.

• Once a completed application has been submitted, a time will be established for a live interview with the Volunteer Director.


Time Commitment

• Adult volunteers are asked to commit to volunteering one day per week for one four-hour shift or 10 hours per month, for six months.

• Shifts typically are from: 8:00am - 12:00pm, 12:00pm to 4:00pm, and 4:00pm - 8:00pm.

• Volunteer opportunities are available seven days a week.

• All volunteers must complete a 4-hour orientation prior to starting as a volunteer.


We look forward to meeting with you. If you have any questions, please feel free to call 702.916.9251.


Sincerely,

Erica Nansen

Director of Volunteer Services & Community Outreach


Personal Information


Pre-Volunteer Disclosure

Regardless of when it occurred, have you ever been convicted of ANY law violation, including

misdemeanors? Include any plea of “guilty” or “no contest”. Exclude minor traffic violations.

(Arrest or charges that have been expunged need not be disclosed). Please indicate Yes or No in the space provided below. If Yes, also provide date, place and nature of each conviction below.

(A conviction will not necessarily disqualify an applicant for volunteering.)


Are you currently excluded, suspended, debarred or otherwise ineligible to participate in the

Federal or State health care programs including Medicare and Medicaid, or have you been convicted of a

criminal offense related to the provision of health care items or services but not yet been excluded,

debarred, or otherwise declared ineligible? Please indicate YES or NO in the space below.



Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.



Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Education

Please enter your highest level of education.



Availability

Please indicate the days and times you are available to volunteer.



Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more that assignment. Please select the assignments are you most interested in.



Previous Volunteer Experience

Please list your current or most recent employer, if applicable and any previous volunteer experience



Reference

Please provide one reference which will allow us to better assess your ability to fulfill the responsibilities involved in our volunteer service program. All information is confidential. Reference should be someone outside your immediate family.



Volunteer Conditions

1. I certify that the information on this application is true and complete to the best of my

knowledge. I understand that any misrepresentation or omission of facts on this application will

be sufficient cause for disqualification of this application. In addition, after obtaining a Volunteer

position it is found that the information on this application is significantly untrue, incomplete or

misrepresented; I understand this will result in immediate dismissal from further participation as

a Southern Hills Hospital Volunteer.

2. I understand that a volunteer at Southern Hills is minimally required to work four hours per

week.

3. Donate my services without monetary compensation.

4. I will abide by all the rules and policies of the Volunteer Services Department/Southern Hills

Hospital. I will complete health office requirements, necessary training/orientation, observe the

dress code, code of ethics and keep all patient information confidential.

5. I understand Southern Hills Hospital reserves the right to terminate my volunteer status as a

result of failure to comply with health system; absences without proper notification;

unsatisfactory attitude, work, or appearance; or any other circumstances which, in the

department director’s judgment, would make continued volunteer service contrary to Southern

Hills Hospital’s best interests.

I have read each of the above conditions, and agree to honor them. In addition, I hereby authorize any

prior employers to provide such information concerning my employment with them as may be

requested by Southern Hills Hospital. Southern Hills Hospital is an Equal Opportunity work place and

does not discriminate based on age, religion, gender, ethnic background or sexual orientation.



I agree

I understand and agree that submitting this application form does not automatically register me as a Sunrise Hospital Medical Center 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.