Thank you for your interest in volunteering at University Hospitals Cleveland Medical Center. Through deeds direct and indirect, volunteers are an essential part of the team.


To get started, you must sign up for an information session. Please note that volunteer spots fill very quickly. At the information session, we will place you in a volunteer role based on your interests and availability and provide you with the next steps to volunteering. At the information session, you will also be given the dates of the upcoming mandatory volunteer orientation. To sign up for the information session, visit https://tinyurl.com/2020SpringInfoSessions.


Volunteers do not take the place of salaried staff at University Hospitals Cleveland Medical Center. Volunteer service does not lead to paid employment.


Volunteers at University Hospitals Cleveland Medical Center should be willing to commit to a minimum of six months or 50 service hours. Volunteer assignments typically require three hours per week. Please consider carefully whether this time commitment will fit your schedule or other life commitments.


Thank you!


Personal Data


Emergency Contact


Education


Volunteer Areas of Interest

Please review the opportunity listing and provide your top three areas of interest.



Prior Volunteering Experience

List any recent volunteer experience you may have.



Skills and Talents

In which of these areas do you feel you have moderate to excellent skill or talent? Check all that apply.



Background Check Authorization /Fair Credit Report

Employer (the Company) may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, or associates. These reports may be obtained at any time after receipt of your authorization and, if you are hired, throughout your employment. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Corporate Screening Services, Inc., 16530 Commerce Court, Cleveland, OH 44130, Phone: 800-229-8606, Fax: (440) 243-4204 or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing Employer to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are hired, throughout the course of your employment to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.


The summary of Rights under the Fair Credit Reporting Act (FCRA) can be found at www.ftc.gov/credit


New York applicants or employees only: You have the right to inspect and receive a copy of any investigative consumer report requested by Employer upon request.


ACKNOWLEDGEMENT AND AUTHORIZATION


I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” at any time after receipt of this authorization and, if I am hired, throughout my employment. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Corporate Screening Services, Inc., another outside organization acting on behalf of Employer, and/or Employer itself. I agree that a facsimile (“fax”) or photographic copy of this Authorization shall be as valid as the original.




Minnesota and Oklahoma applicants or employees:

Please check this box if you would like to receive a copy of a consumer report if one is obtained by the Company.





California applicants or employees:

By signing below, you also acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW. Please check this box if you would like to receive a copy of an investigative consumer report or consumer credit report if one is obtained by the Company at no charge whenever you have a right to receive such a copy under California law.



Signature

I certify the statements made in this application are true and correct, and I understand that misrepresentation and/or withholding of information may result in the rejection of this application or my discharge if discovered after volunteer service begins. I understand this information may be disclosed to any party with legal and proper interest, and I release the agency from liability whatsoever for supplying such information. I understand the hospital may not verify volunteer service hours unless I successfully fulfill my volunteer commitment.


Acceptance and placement to University Hospitals Cleveland Medical Center volunteer program is based upon an interview and the needs of the hospital. You cannot start any volunteer assignment at University

Hospitals Cleveland Medical Center until you have successfully completed all the steps in the volunteer process: interview, references and background checks, orientation, training, and health screening.