General Adult Volunteer Application - Marina Del Rey Hospital

Marina Del Rey Hospital - Adult Volunteer Application

Thank you for your interest in volunteering at Cedars-Sinai Marina Del Rey Hospital. Please note that our programs require a minimum commitment of 6 months or 100 hours, whichever comes first. If you are interested and can meet this requirement, kindly take a moment to complete your online application.

If you experience any problems while submitting this application, please email us at Adult Volunteer Program to help. If you have previously submitted an application, previously volunteered, or are a current employee at Cedars-Sinai, please call our office at 310-423-8044 before submitting an application to simplify your process.

New User Details

User ID

User ID (verify)

Password

Password (verify)

* By checking this box, I confirm that I am available to volunteer at least once a week for the next 6 months.

* I also confirm that I am able to complete a minimum of 100 hours of uninterrupted weekly volunteer service.

* Fields marked with a red asterisk are required. Since the system doesn't save partial applications, please set aside 3-10 minutes to complete and submit in one go.

CONTACT INFORMATION

Please input your name as it appears on your official photo ID (e.g. driver's license, REAL ID, passport, etc.).

* First Name

Middle Name

* Last Name

Preferred Name

* Date of Birth (MM/DD/YYYY)

* Home Address - include apt./suite # here

* City

State

* Zip Code

Home Phone

* Cell Phone

Work Phone

* E-mail Address

Pronouns

What is your gender identity?

If self-describing gender identity, please specify:

EMERGENCY CONTACT

* Name of Emergency Contact

* Relationship

* Mobile Phone

Home Phone

PERSONAL INFORMATION

* Can you furnish proof of identity and that you are a U.S. Citizen or otherwise legally permitted to take a volunteer position in the United States?

* Social Security Number (000-00-0000) or Visa Number:

If you have neither Social Security Number nor Visa Number, please place zeroes in the blank above and email Adult Volunteer Program to describe your details.

* Do you require any ADA accomodations?

What languages do you speak? (Please select all that apply.)

How would you identify your race, ethnic, or family origin?

If self-describing race/ethnicity/family origin, please specify:

What is your sexual orientation?

If self-describing sexual orientation, please specify:

VOLUNTEER EXPERIENCE

* Have you ever submitted a volunteer application or volunteered at Cedars-Sinai Medical Center? If yes, please describe below.

Please list any volunteer experience below. Does not need to be healthcare related.

Name of Volunteer Organization

Approx. Date or Year Started

Approx. Date or Year Ended

Type of Duties Performed

Name of Volunteer Organization

Approx. Date or Year Started

Approx. Date or Year Ended

Type of Duties Performed

EMPLOYMENT INFORMATION

Are you currently employed?

Employer's Address

Describe Job Duties

Do any of the categories below apply to you?

EDUCATION AND INTERESTS

* Name of Highest Educational Institution

* Type of Degree Completed or In Process

*How did you hear about us? (Please select all that apply.)

If Other, how did you hear about us?

Are you pursuing or exploring a career in healthcare?

Are you submitting this application with the intentions of applying to the Pre-Med Volunteer Program?

*Please check off your motivations or interests in volunteering (check all that apply):

If Other, please elaborate on your motivations:

* Please describe who or what in your life has influenced you to volunteer?

Please upload a picture of your official photo ID with your name (e.g., driver's license, REAL ID, passport, etc.). If you have difficulty, call us at 310-423-8044.

* Identification Verification - please click 'Choose File' below

Thank you for filling out your Volunteer Application! Please verify the information above:

* I confirm that I've shared true and complete information. I understand a background check is part of the application process. I release the organization, all persons, and entities requesting or supplying this information from liability or responsibility. I also understand that incorrect or missing details could affect my application and may disqualify me from further consideration as a volunteer.

* I understand that most volunteer roles include a commitment to a weekly four-hour shift, and that the specific volunteer role will depend upon Cedars-Sinai's current needs.

Acknowledgement Date