Structured Volunteer Program

Structured Volunteer Program

Thank you for your interest in volunteering at Cedars-Sinai. If you experience any problems while submitting this application, please email us at Structured Volunteer Program to help.

If you have previously submitted an application or previously volunteered 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)

* 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

Home Phone

* Mobile 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 Structured Volunteer Program to describe your details.

* Do you require any ADA accommodations?

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:

*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?

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

If Other, please elaborate:

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? If yes, where?

Employer's Address

Describe Job Duties

Do any of the categories below apply to you?

ROLE INFORMATION & EDUCATION

Will the hours you volunteer at the medical center be counted toward a degree, certificate, or training necessary to be licensed to practice as a health professional, as required by state law, or continuing education necessary to retain state license or certification by a board in your health profession specialty?Please only answer Yes if the requested volunteer training is necessary based on a requirement by your health profession, specialty educational program, or licensing board.

Department where I will be volunteering

Name of Mentor

* Name of Highest Educational Institution

* Type of Degree Completed or In Process

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.

* Acknowledgement Date