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Home Volunteer Services Child Life Volunteer Program Child Life Application

Child Life Volunteer Application

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Contact Information

Local Emergency Contact

Education Information

Volunteering Interests

Commitment Statement

I understand and agree that in the performance of my duties as a volunteer with UCI Health I must abide by all policies and procedures, including to hold as strictly confidential all medical information that I may obtain directly or indirectly concerning patients. I understand that failure to comply with these requirements may result in my dismissal as a volunteer. I am volunteering my services to the University of California solely for my personal purposes or benefit without promise or expectation of compensation or University benefits. I agree to serve as a volunteer without salary for a minimum of 100 hours. If the volunteer is a minor, then the signature of a parent or guardian is required.

Parental Consent

I give my consent for my child to participate in the Junior Volunteer Program at UCI Medical Center

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