Together with medical staff, support staff, and leadership, volunteers play a critical role in our strong commitment to our patients, one that defines our culture: Service is our Passion.

We are grateful for those in our community who give their time and energy in support of our cause. Volunteers provide vital services to our patients and visitors that otherwise would not be available.


To be considered for a position as a volunteer at UMC Health System, please complete this application. Once you complete the form, click Continue and you will receive confirmation with further instructions.


Volunteer Policies and Onboarding Process

• Volunteers must be at least18 years old 

• Volunteers must give consent for UMC to conduct a background investigation

• Volunteers must complete orientation, in-processing, and receive clearance before beginning

• Volunteers are matched to placement based on availability, skills, and experience

• Volunteers must adhere to dress code, HIPPA, hand hygiene, and UMC code of conduct

• Volunteer positions are “at-will” and may be terminated by UMC for violations of policy




Volunteering Onboarding Process

All volunteers must complete the below steps:

• Submit application and supporting documents to Volunteer Services Department

• Complete interview screening with Volunteer Services Department (if applicable)

• Review and accept assignment/schedule

• Sign a consent for a criminal history record search

• Submit additional documents if requested (shot record, transcripts, etc.)

• Complete UMC Volunteer Orientation

• Complete TB Test/Screening, Influenza vaccine, and other required medical clearance

• Take photo for name badge




Volunteer Categories

Student Volunteer:

Generally collegiate age. UMC requires a minimum of a semester commitment from student volunteers. Various roles and opportunities available with limited patient contact, including Health Unit Coordinator, cancer center, pediatrics, trauma & burn office, pharmacy, and more.



Community Volunteer:

Generally adults from the community who can give 2-4 hours per week for 3-6 months or more. This category offers access to most volunteer opportunities including Information Desk, Couriers, Greeters, and Patient Advocacy, as well as specialty volunteer assignments such as Pet Therapy and Music Therapy. This category includes access to join the UMC Auxiliary – a non-profit group whose mission is to further support the UMC Health System through fundraising, community awareness, and other service. Auxiliary members have the opportunity to join the Auxiliary Board after 1 year of service. Placement available through the Department of Volunteer Services.




Volunteer Application


Emergency Contact


Employment Information


Reference

If you would prefer we not contact your employer, please list a reference. (previous supervisor, co-worker, mentor, no relatives)



Disability Disclosure


Assignment Preferences


Availability

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



Mycobacterium Tuberculosis Questionnaire

*All volunteers must complete the Mycobacterium Tuberculosis (TB) Questionnaire.

Copy and paste this link into a new tab or window of your internet browser to complete the form online:


https://rb.gy/hrxxq2




UMC Health System Compliance & HIPAA Agreement

I acknowledge that I have read and understand the Code of Conduct and Ethical Behavior. I am fully aware that I must comply with the standards in the Code of Conduct and the Compliance Plan or face disciplinary action. I will cooperate fully with the Compliance Committee and Compliance Office to the extent necessary and report to my supervisor and/or the Compliance Office any knowledge of unethical or illegal activities.

I acknowledge that I have read and understand the information on the Health Information Portability and Accountability Act (HIPAA) that includes but is not limited to the following:

I understand and agree that hospital information may be confidential, either by law or by UMCHS policy, and I am responsible to protect the confidentiality of information.

Confidential information includes all patients, personnel, financial, administrative, and other information made confidential by law or UMCHS policy. The information may be oral, written, computerized, or in other mediums.

I will access only that information that I need to know in order to perform my job duties and responsibilities at UMCHS.

I will follow security precautions as prescribed by UMCHS: passwords, logout requirements, access codes, etc. I agree that misuse of security measures is considered a breach of confidentiality.

I will not disclose confidential information now, or at any time in the future, either directly or indirectly, except as required to perform my duties and responsibilities at UMCHS and/or as required by law, and then only to the extent disclosure is consistent with the authorized purpose for which the information was obtained. When applicable, I will follow UMCHS policy concerning the manner in which confidential information may be released.

I will handle all confidential information, whether oral, written, computerized, or other in such a way as to not inadvertently reveal or disclose it to any other person.

I will not maintain personal files other than necessary for the performance of my job duties and responsibilities. Such files are property of UMCHS and are subject to confidentiality restrictions. Also, I will use E-mail and internet access only in accordance with UMCHS policy. E-mail is subject to review by management, and my use of E-mail grants consent to such reviews. All E-mail communications are the property of UMCHS.

I understand that access to confidential information will be audited on a random basis to determine potential breaches of confidentiality/security.

I agree that any breach of this Acknowledgment/Agreement will result in disciplinary action, which may include immediate termination of employment. Further, I agree that such a breach may result in legal action including suit for injunction restraining my action.

The terms of this Acknowledgement/Agreement shall be effective immediately and apply both retrospectively and prospectively, regardless of termination of employment.


By typing your first and last below using any device, means or action, you consent to the legally binding terms and conditions of this form. You further agree that typing your first and last name on this document is as valid as if you signed the document in writing.



UMC Health System Background Investigation Consent

I understand that University Medical Center (UMC) requires a criminal history record check on all employees, volunteers and non-employees who have direct patient contact. I have been requested to consent to a criminal history record check on a voluntary basis as a condition of continued employment or service with the Hospital. I hereby consent to the check and submission of the information below to the Department of Public Safety (DPS) for the purpose of a criminal history record.
I also understand that refusal to consent to and participate in such a check will automatically terminate my employment or service with the Hospital. If DPS reports that I have a criminal conviction of any kind, this conviction may result in termination of employment or service with the Hospital. Except where employment or service is expressly prohibited by law, UMC will review each individual’s criminal history record and consider factors such as, but not limited to, the nature and age of the crimes(s) reported, the position or service sought and duties, rehabilitation, the candidate’s employment or service history, and references before making a final decision on the individual.
By signing this consent and release form, I specifically consent on a voluntary basis to the criminal history record check. I further agree to release and to hold harmless UMC and its agents from any and all liability in connection with such check.

I hereby affix my signature knowingly and voluntarily, absent of any duress or coercion.

By selecting "I Agree" using any device, means or action, you consent to the legally binding terms and conditions of this form. You further agree that selecting "I Agree" on this document is as valid as if you signed the document in writing.

I understand and agree that submitting this application form does not automatically register me as a UMC Health System 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.