We will be processing applications on a quarterly basis. Sessions are January - March, June - August and September - November. Prior to each session you will recieve an email with instructions on how to schedule your phone interview. Pleae read email thoroughly and follow instructions given.


NAME AND ADDRESS


PERSONAL INFORMATION

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.



Session you are applying for:


Availability

Please indicate the days and times you will be available to volunteer. We require all teen volunteers to be able to complete a minimum of one 3  or 4 hour shift (dependent on session) per week during the school year We also require that they commit to completing a total of 72 hours over a period of 6 months.



EMERGENCY CONTACT


School Your Currently Attending (if applicable)

Students please tell us the name of the school you currently attend and your expected graduation year. If in college, please list your area of study.



Your Reason For Volunteering:


Please list any skills you may want to use:


Other Volunteer Experiences:


Clubs/Organizations you participate in:


Areas of hospital that interest you:

This is informational only, it does not guarantee placement in this department.



Are you currently employed:

(Please list the name of your employer and current position)



Commitment Promise

The Purpose of the volunteer program is to provide an opportunity to experience working in a hospital environment and to provide needed assistance to the hospital staff, patients and visitors. I desire and agree to volunteer at Kaiser Permanente Los Angeles Medical Center without promise or contemplation of pay or any in-kind benefits or other compensation. I am volunteering for enjoyment, public service, religious or other humanitarian reasons.

I agree to accept the responsibility of the 72 hour commitment over a period of 6 months as a teen volunteer. The first session of service will be as a Red Vest Concierge and it is understood that this is a mutual probationary period. I understand my obligation to attend the required New Volunteer Orientation, Red Vest Orientation,annual update and healthscreening compliance.