Full Adult Volunteer Application (18+)

Volunteering at CHLA

Thank you for your interest in becoming a volunteer at Childrens 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 10 minutes to complete.
Please complete the application in one sitting.
Be sure to check your spam folder if you don't receive it.

Contact Information

* First name

Middle name

* Family/last name

* Street Address

Line 2

* City

State (as combo)

* Zip/postal

* Date of Birth

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.

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. 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

Reference 1

* Name

Relationship

* Phone

* E-mail

Reference 2

* Name

Relationship

* Phone

* E-mail

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?

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. Attend the next 4-hour Volunteer / Patient Care Orientation 3. After Orientation: Schedule a Personal Interview with the Volunteer Department 4. Get a Health Clearance Examination through CHLA Employee Health Services Department 5. Complete Competency Tests/Documents 6. Get Background Cleared through Volunteer Resources 7. 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 shift for a day position. Do you have time in your life for this regular commitment?

Full Adult Volunteer Application (18+)

Questions on this application?

Volunteering at CHLA

Contact Information

Personal Information

Please read the statements below carefully and answer truthfully.

Emergency Contact Information

Emergency Contact 1

Emergency Contact 2

Personal Reference Information

Reference 1

Reference 2

Short Answer Questions

Volunteer Commitment