Volunteer Application - My Doctor Online

Volunteer Services Department
Volunteer Recruitment
What you need to know before you apply
Thank you for your interest in volunteering at the Kaiser Permanente Redwood City Medical Center. A wide variety of
opportunities exist for qualified applicants who are willing to make a firm commitment for a minimum of one year.
Minimum Requirements
 One assigned shift per week (typically 4 hours)
 Continuous one year of service
 Completion of a background check
 Attendance at team meetings
 Ability to speak and read English
 Minimum age of 18 years old
Summer Youth Minimum Requirements
 One assigned shift per week (typically 4 hours) during the summer
 Ability to speak and read English
 Minimum age of 16 years old
Getting Started
Completing and submitting this application is the first step toward becoming a volunteer. If your qualifications and availability
match an open position, then you may be contacted for an information session or interview.
Steps to Becoming a Volunteer
 Complete an application
 Attend an information session or interview (by invitation only)
 Pass a background check
 Complete a health appraisal including lab work, two TB tests and an appointment with Employee Health
 Attend a new volunteer orientation
 Complete tour and customer service training
 Complete two 4- hour training sessions
Current Services
Emergency Room
Recovery Room
Information Desks
Radiology
Surgery Areas
Ambassador
Errand Services
Mother & Baby
Health Education
Pet Therapy
Health Science Library
Spiritual Care
Once again, thank you for your interest in volunteering at the Kaiser Permanente Redwood City Medical Center.
Sincerely,
Volunteer
kp.org Services Department
Applying to volunteer does not guarantee an invitation to an interview or acceptance into the volunteer program. Availability is limited and there may be a
Volunteer Services Department
Facility Preference
Redwood City
1150 Veterans Blvd.
San Mateo
1000 Franklin Parkway
Personal Data
Name:
Address:
City/Zip:
E-mail Address:
Phone:
Have you ever been employed by Kaiser
Permanente or any other Kaiser Organization?
No
Where:
Position Held:
Volunteer Type:
High School Student (age ______ )
If yes, name of facility
or organization:
When:
Name Used:
Adult (age 18 and over)
Volunteer / Work / Educational Experience
Volunteer Experience:
Work Experience:
Why are you seeking to
: ________________
Please explain:
Are you currently attending school?
Level of Education Completed:
No
Yes
If so, where?
Field of Study:
Skills & Attributes
Please indicate below the attributes and skills that you possess:
Customer Service
Positive Attitude
Initiative/Proactive
Listening Skills
Patience
Understanding/Empathy
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Creative
Musical Instrument
Drawing/Painting
Humor/Storytelling
Singing
Sewing/Needlework/Crafts
Technical
Computer Skills
Telephone
Office Machines
Reception Desk Skills
Typing
Please describe any other attributes/skills/special trainings:
Please share your hobbies/ special interest/ extracurricular activities:
Language Proficiency (other than English):
Service & Availability
How did you learn about the Volunteer Program?
Do you have a preference for an area you would like to volunteer in?
If yes, please list your top three choices:
1)
No
Yes
2)
3)
Can you commit to volunteering for a minimum of a 4 hour segment once a week for a year
Do you have any limitations you would like us to know about?
Please indicate the time of day and days of the week you are available to volunteer. Shifts may include:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Mornings
Saturday
Afternoons
Evenings





I certify that all answers in this volunteer application are true and correct and have been given
voluntarily
I understand that completing an application does not guarantee acceptance into the Volunteer
Program
I understand that the position of Volunteer requires that I be available to volunteer for a
minimum of 4 hours a week for a minimum of one year.
I understand that incomplete applications will not be considered
I understand that volunteering will not lead to employment
Signature ___________________________________ Today’s date _____________________
*If under 18 years of age, parent/guardian signature is required.
*Parent/Guardian Signature ___________________________________ Today’s date __________________
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