Structured Volunteer Program

Structured Volunteer Program

Thank you for your interest in volunteering at Cedars-Sinai. Kindly take a moment to complete your online application. If you experience any problems while submitting this application, please email us immediately at Structured Volunteer Program.

If you have previously volunteered or submitted a volunteer application at Cedars-Sinai, please call out office at 310-423-8044 before submitting a new application.

New User Details

User ID

User ID (verify)

Password

Password (verify)

Please be sure to answer ALL questions before submitting.

Please upload a picture of your valid, government-issued identification (e.g., driver's license, REAL ID, passport, etc).

* Identification Verification:

Please input your name as it appears on your legal documentation.

* First Name

Middle Name

* Last Name

* Home Address

* City

State

* Zip Code

Home Phone

* Cell Phone

Work Phone

* E-mail Address

* Date of Birth(MM/DD/YYYY)

Pronouns

What is your gender identity?

If self-describing gender identity, please specify:

EMERGENCY CONTACT

In case of an emergency, whom do you wish notified:

* 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 F1 Visa Number:

If you have neither Social Security Number nor F1 Visa Number, please place zeroes in the blank above and email adultvolunteerprogram@cshs.org to describe your details.

Do you have any physical limitations or a mental disorder that would impair your ability to perform as a volunteer in the Medical Center without any supplemental assistance? If yes, please provide details. An affirmative response will not automatically disqualify you from being considered:

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?

Do you have any friends and/or relatives employed or volunteering at Cedars-Sinai Medical Center:

Name:

Relationship:

Department:

Name:

Relationship:

Department:

EMPLOYMENT INFORMATION

Do any of the categories below apply to you?

Are you currently employed? Name of Company or N/A if not currently employed.

Business Address:

City/State/Postal:

Describe Job Duties:

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.

VOLUNTEER EXPERIENCE

Please list any volunteer experience below:

Name of Volunteer Organization

Date Started

Date Ended

Type of Duties Performed

Name of Volunteer Organization

Date Started

Date Ended

Type of Duties Performed

Have you previously applied or volunteered at Cedars-Sinai Medical Center?

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 on your motivations:

ROLE INFORMATION & EDUCATION

Name of Mentor:

Department where I will be volunteering:

* Name of Highest Educational Institution

Expected Degree/Year

* I hereby affirm that the information provided on this application is true and complete to the best of my knowledge, and agree to have any of the statements checked by the organization. I understand that providing any false or misleading information or any omissions may disqualify me from further consideration as a volunteer and may result in my immediate termination, even if discovered at a later date.  

* I authorize representatives of Cedars-Sinai to conduct a thorough investigation of all my activities. I agree to cooperate in such investigation, and release from all liability or responsibility of the organization, all persons and entities acting on its behalf, and all persons and entities requesting or supplying such information.  

* Acknowledgement Date