Volunteer Application

Thank you for considering a position as a volunteer for the Salinas Valley Health.

Please fill out the application below.

New User Details

User ID

User ID (verify)

Password

Password (verify)

Applicant Information

* Last Name

* First Name

Middle Initial

Nickname

* Home Address

* City

State

* Zip Code

* Phone (Mobile)

Phone (Home)

* E-mail

* Date of Birth

* Last 4 Digits of SS#

Check this box if you are under the age of 18.

Education

Are you currently enrolled in an educational program?

Are you currently enrolled in high school?

Please choose the name of your high school using the drop down menu below. If you have already graduated high school, leave blank and move to the next question. 

If 'other' is chosen in the high school drop down menu, please type the full name of your high school below.

What year will you graduate high school? If you have already graduated high school please do not fill in this field.

Are you currently enrolled in college?

If you are enrolled in college, please choose the name of your university using the drop down menu below. If you have already graduated college, leave blank and move to the next question.

If 'other' is chosen in the college drop down menu, please type the full name of your university below.

What year will you graduate college? Please type entire year/no abreviations.

Volunteer and Work Experience

Describe previous volunteer experience, if any. List organizations, dates, and describe your responsibilities.

Previous Employment

Current Employment

How did you hear about our volunteer program?

Do you have any friends who work or volunteer for Salinas Valley Health? Please list name(s) and relationship(s)

Skills

Please check areas in which you have training or experience

Scheduling

Days of week

Times of day

Additional Information

After we receive your application, you will receive a call for a phone interview to help find the best volunteer assignment fit for your interest and availability.

Before you are scheduled in your regular volunteer assignment you will complete orientation, position specific training and must successfully pass a background check, health screening, and demonstrate ability to perform tasks of assigned service area.

TB screening is required for all hospital volunteers initially and annually thereafter. There is no charge for this test if it is administered by the Salinas Valley Health Employee Health Services Nurse. You will also be asked to provide your immunization records. If you have a history of positive skin test results, Employee Health Services will request a baseline chest X-ray and annual "signs and symptoms" questionnaire.

If you are under the age of 18, please have your parent or legal guardian fill out the following form:

Parent/guardian consent Form Download

For Spiritual Care Volunteers, please download the following form and turn it in after having the appropriate authority fill it out:

Spiritual Care Volunteer Form Download

For Pet Therapy volunteers, please be aware that you will need to provide proof of your pet's TDI Certification. If your pet is not TDI Certified, a volunteer services representative can inform you on how you can get your pet TDI Certified your pet.

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Signed:

* Date: