Adult Volunteer Application

Dear Prospective Volunteer,

We are excited you are interested in becoming a member of our volunteer family. You will be joining a team of dedicated people from our community who donate their time in service to others. As a volunteer you can be an invaluable complement to the care we provide to our patients, families and visitors.

Please make sure you have read through all the requirements listed on our website before applying. We are delighted that you share our interest in volunteering.

Sincerely,

The Volunteer Services Department

New User Details

User ID

User ID (verify)

Password

Password (verify)

Personal Information

Please select location below:(Required)

* Last Name

* First Name

* DOB

* E-mail

Marital Status

Ethnicity

Gender

* Home Phone

Work Phone

* Cell Phone

Do you have a Social Security Number for background Verification purposes?

Have you received one or both doses of the COVID-19 vaccine?

I acknowledge that there are COVID-19 immunization requirements in place including either receiving the Covid-19 vaccination or complying with weekly testing, surveys and other safety protocol.

T-Shirt Size

* Current Address

* City

* State

* Zip Code

Essays

Describe your reasons for choosing to volunteer at Driscoll Children's Hospital.

Describe the volunteer experience(s) you've had, if any.

Other than minor traffic offenses, have you ever been:

1) Convicted of a crime (misdemeanor or felony),

2) Received a probated sentence (including deferred adjudication) for an alleged crime,

3) Been assigned a probation officer, or

4) Plead guilty, no contest, or nolo contendere to an alleged crime?

A yes response will not necessarily disqualify an applicant from volunteering.

If yes, please explain:

Emergency Contact

* Contact name

* Phone #1

Phone #2

E-mail

* Relationship

Education

If you are currently a student, please complete this section.

Major:

College:

Education Completed

Employment

Work Status

Position

Company

Duties

REFERENCES - Please enter information on two, non-relative references for us to contact. Please be sure to provide a valid email address for each.

Reference 1

* Name

Relationship

Address 1

City

State

Zip/postal

Phone

* E-mail

Reference 2

* Name

Relationship

Address 1

City

State

Zip/postal

Phone

* E-mail

Do you have any friends or relatives currently employed or volunteering at Driscoll Children's Hospital?

If yes, Name

Relationship

Phone

Where did you learn about the volunteer opportunities at Driscoll Children's Hospital? (check all that apply)

I verify that the information provided is accurate to the best of my knowledge. I authorize DCH and its agents to confirm all information provided on the application. I release DCH and all persons and companies from any claims, liabilities or damages from obtaining or furnishing information about me.

* Date:

* Please type in your name in this field as a form of electronic signature