Full Adult Volunteer Application (18+)

Volunteering at CHLA

Thank you for your interest in becoming a volunteer at Children's Hospital Los Angeles. Our volunteers provide special services to our patients and families that contribute daily to our mission to create hope and build healthier futures.

Important Application Tips:

The application will take approximately 15-20 minutes to complete. You cannot save your appliclation and return to it later.
Please complete the application in one sitting.
It is recommended to work on your answers seperately, then copy and paste your answers when you are ready to submit.
Please have reference emails in advance. You will NOT be able to submit form without email references.
All yellow fields require a answer.
Upon completion, you will receive a confirmation e-mail. Be sure to check your spam folder if you don't receive it.

Contact Information

* First name

Middle name

* Last name

* Street Address

Line 2

* City

State (as combo)

* Zip/postal

* Date of Birth

Gender

Extended gender

* Phone (Mobile)

Phone (Home)

Phone (Business)

Personal Information

(If applicable) What college did you attend or are you currently attending? Include year/planned year of graduation. Ex. (Grad - CSULA, 2019) or (Attending - UCLA, 2023)

(If applicable) Are you going to college out of town/state but home in Los Angeles for the summer?

* Please indicate which volunteer service area interests you the most.

Please list any current volunteer experience and include dates of service.

Please list any previous volunteer experience and include dates of service.

Please read the statements below carefully and answer truthfully.

1. I am only interested in a short-term opportunity because I have a month or two of unexpected free time.

2. CHLA requires a minimum of 8 volunteer service hours per month. Are you able to serve a minimum of 8 monthly hours (yes, it is possible to serve more than 8 hours per month), if selected as a volunteer?

3. I hope that by volunteering I will be able to work through my current grief at the loss of a loved one.

4. I am uncomfortable in a fast-paced, clinical environment where I will see children who are very sick or in pain and parents under stress.

Emergency Contact Information

Emergency Contact 1

* Contact name

* Relationship name

* Phone (Home)

Emergency Contact 2

* Contact name

* Relationship name

* Phone (Home)

Personal Reference Information

Please be prepared to enter email addresses for both references. You will NOT be able to submit form without referneces.

Reference 1

* Referral Name

* Referral Relationship

* Referral Email

* Referral Mobile number

Reference 2

* Referral Name

* Referral Relationship

* Referral Email

* Referral Mobile number

Short Answer Questions

* Please share an interesting fact about yourself and/or is there anything else you'd like to tell us?

* Please give us an example of a past meaningful experience involving children?

* In recognizing your passion for children, please tell us why you should be considered for a volunteer position at Children's Hospital Los Angeles?

* What is your favorite book OR movie? Why?

Volunteer Commitment

The volunteer placement process includes several steps and trips to the hospital before you can begin volunteering (this may total as many as four trips to the hospital). The steps you must complete to become a Volunteer are: 1. Submit an Application 2. Accepted Applicants - Interview with the Volunteer Department 3. Accepted Interview Prospects - Attend the next 3-hour Volunteer / Patient Care Orientation 4. Post - Orientation - Complete Competency Tests/Documents 5. Complete Health Clearance Examination through CHLA Employee Health Services Department 6. Obtain Background Check Clearance through Volunteer Resources 7. Complete Virtual At Your Service Training 8. Receive a Start Date Are you willing to make these trips and the required steps to complete the volunteer placement process?

CHLA's volunteer program is very structured. The volunteer commitment, is at least 100 service hours per year and at least a two year commitment. At a minimum, this can be completed in a bi-weekly, four-hour day time position. Evening and weekend hours, while available, are very limited and not easily available for new volunteers. Do you have time in your life for this regular commitment?

The CA Department of Public Health requires all healthcare workers, including volunteers in a healthcare organization, to be fully vaccinated during 'Respiratory Season' (Nov. 1- April 30) with the seasonal influenza and Covid-19 vaccinations. Please indicate if you're willing comply with this requirment.

Questions about this application?