Dear Potential Volunteer:
Thank you for your interest
in Shriners Hospitals for Children Northern California. We are pleased that you
would like to volunteer your services to assist our patients and support our staff.
Enclosed is a volunteer application. Please take the time to complete the form
and provide the necessary references. We would appreciate a copy of your current
resume, if available.
Please note that volunteer candidates must be at
least 18 years old and be able to make an ongoing commitment to the hospital.
A list of possible volunteer opportunities is attached to the application. Please
check off those that interest you.
Our application process has a variety
of steps, which we would like to explain. If the applicant may fill a hospital
need, an interview is scheduled or the potential volunteer is invited to an informational
meeting. Next, if the staff determines that the candidate is suitable to serve
within a pediatric hospital environment, an introduction to a potential supervisor
is scheduled.
Applicants who are successful will then have their applications,
and interview comments carefully reviewed by departmental supervisors. The departmental
supervisors may interview those applicants who most closely match their current
needs and may test applicants for proficiency in desired skills.
An applicant
who is selected by a departmental supervisor will be contacted to participate
in an orientation to learn about hospital policies and procedures and the special
privileges accorded volunteers. A TB test and health survey are required at that
time. Volunteers must indicate immunity to measles, chicken pox and rubella in
addition to a Hepatitis B series. All applicants are required to take a drug test
and agree to a background check to complete the application process. We hope that
this will explain our selection process for potential volunteers and trust that
you will understand the necessity of careful screening. We thank you again for
your interest. Please contact the Volunteer Services Department at (916) 453-2087
if you have any questions.
Sincerely,
Lillian Nelson
Volunteer
Services Department
Cathy Bones
Manager, Volunteer Services/Pet Therapy
Coordinator
Dear Volunteer Candidate:
Shriners
Hospitals for Children Northern California requires all applicants offered positions
of employment or volunteer service to be processed through our Employee Health
Department.
Employee applicants/volunteers will be required to successfully
complete a pre-assignment drug test, a criminal background investigation
and health screening requirements appropriate to your job or volunteer assignment.
You will be asked to supply the following information, which will be retained
in a confidential health file in the Employee Health Office. Information from
your file may not be released without your written permission however it may be
reviewed, on an as needed basis, by regulatory officials or for occupational injury
or emergency medical providers for hospital related exposures or injuries.
Please provide copies of your immunization records upon offer of an employment
position or with your application if you are a volunteer candidate.
1.) a copy of your most recent tuberculosis (PPD) skin tests or written chest x-ray results if you had a previous positive test
2.) a copy of your most recent physical- employee applicants only. (if completed within the previous 12months)
3.) a copy of your immunization records or proof of immunity for Rubella (1 vaccination or titer)
4.) a copy of your immunization records or proof of immunity for Rubeola (2 vaccinations or titer if born after 1957; if born prior to 1957 1 booster vaccination or titer).
5.) Varicella (History or 2 vaccinations)
6.) For those at risk to exposure to blood borne pathogens, a copy of your
Hepatitis B vaccination records. Volunteer candidates will start pre-assignment
screening paperwork through the Volunteer Services Office, which will then be
forwarded to Employee Health for processing and contact with candidate. Please
contact Employee Health at (916) 453-2026 for questions or assistance. Processing
for for volunteers usually takes 5-10 working days.
Volunteer
Information Form (Print and send the following
application to Shriners Hospital)
Lillian
Nelson
Volunteer Services Coordinator
Shriners Hospital for Children -
N. CA.
2425 Stockton Blvd
Sacramento CA 95817
(916)
453-2000
Name:
______________________________________________________________
Address:
______________________________________________________________
City/State/Zip Code:
______________________________________________________________
Home Phone: _______________________________
Work Phone: ____________________________________
Present Employer: ____________________________
Position: _______________________________________
Employment &Professional Experience:
______________________________________________________________
______________________________________________________________
Educational Background:
______________________________________________________________
______________________________________________________________
Volunteer Activities:
______________________________________________________________
______________________________________________________________
Please list language(s) spoken fluently other than English:
______________________________________________________________
Please indicate computer skills:
______________________________________________________________
Interests, skills, hobbies:
______________________________________________________________
______________________________________________________________
______________________________________________________________
Date of Birth:(month/day/year) _______________ Email:
_____________________________________________
What makes you interested in a position at Shriners Hospital?
______________________________________________________________
______________________________________________________________
What days and times are you available?
______________________________________________________________
______________________________________________________________
Have you ever been convicted of a felony?
_______________________________________________________
If "yes" give date, place and disposition:
______________________________________________________________
______________________________________________________________
In event of emergency, call:
______________________________________________________________
Telephone number:
______________________________________________________________
References:
Please list the names of two individuals we can contact as a reference. Do not list relatives.
Name: _______________________________ Telephone:_______________
Name: _______________________________ Telephone:_______________
I authorize investigation of all statements contained in this application and any supporting documents and I understand that a backgroung check may be conducted. I authorize Shriners Hospitals for Children to secure information about my education or experience from employers, educational institutions, government agencies, or other references I have provided and I release all parties from any liability arising from such investigation.
Signature: ____________________________ Date: ___________________
Volunteer Opportunities - Shriners Hospitals For Children, Sacramento
Please check all areas of interest to you:
PATIENT CONTACT POSITIONS
_____ Artist in Residence/Entertainer: Visual, Crafts, Performace
_____ Genetic Counselor
_____ Interpreter: Spanish, Russian, Hmong, Vietnamese
_____ Library Aides
_____ Nursing/Patient Escort
_____ Occupational Therapy (requires interest in pursuing graduate studies in this field)
_____ Out-patient Clinic
_____ Pet Therapy (Animal Assited Activities/Animal Assisted Therapy)
_____ Physical Therapy (requires interest in in pursuing graduate studies in this field)
_____ Teacher's Aides
_____ Therapeutic Recreation (Child Life): sports & leisure activities, board games, movies, arts and crafts, reading, cooking
OTHER
_____ Computer/Data Entry
_____ Environmental Services/Housekeeping
_____ General Office Assitance
_____ Hospitality Desk (4th Floor)
_____ Materials Management/Supply/Loading Dock
_____ Nutritional Services: Kitchen, Clinical Nutrition
_____ Public Relations/Special Events/PROS
_____ Research Laboratory