UI Health Care Community Volunteer Information Session and Letter of Intent

Thank you for preregistering to become a UI Health Care Volunteer!

Your next step is to select which Volunteer Information Session you would like to attend.

If you experience any difficulty while filling out this form, please contact volunteerservices-vsys@uiowa.edu.

We look forward to helping you make a difference!

All fields marked with * are required.

General Information

* Legal first name*

* Last name*

* Date of birth* (MM/DD/YYYY)

Preferred Volunteer Information Session*

Volunteer Commitment Agreement

I understand that to become a UI Health Care volunteer, I am required to make a commitment to volunteering three hours per week for a period of six consecutive months following my placement in a unit. This equates to over 72 total hours. Considerable hospital resources are dedicated to screen, collect background information, health screen, photo ID badge, and appropriately orient, assess, train, place, and supervise volunteers at the hospital, all of which are provided at no cost to me. In addition, the dependability of volunteers directly affects the quality of the placements available to me, particularly in areas with direct patient contact.

With this in mind, I have considered my obligations, and should I be accepted as a UI Health Care volunteer, I pledge to contribute three hours per week for a minimum of 72 total hours.

* By checking this box and typing my name below, I confirm that I both understand and agree to the above commitment.*

* Full name*

Nondiscrimination Notice

The University of Iowa prohibits discrimination in employment, educational programs, and activities on the basis of race, creed, color, religion, national origin, age, sex, pregnancy, disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, associational preferences, or any other classification that deprives the person of consideration as an individual. The university also affirms its commitment to providing equal opportunities and equal access to university facilities.

For additional information on nondiscrimination policies, contact the Director, Office of Equal Opportunity and Diversity, the University of Iowa, 202 Jessup Hall, Iowa City, IA 52242-1316, 1-319-335-0705 (voice),1-319-335-0697 (TDD), diversity@uiowa.edu.