College Student Volunteer Application

Gender Male Female Other

Are you 18 or older? Yes No

Are you applying as an adult volunteer or college student? Adult Volunteer College Student

Are you currently in school? Yes No

I understand that acceptance and placement into positions within volunteer services is contingent on the successful completion of a background investigation and successfully completing all required post offer medical health checks prior to the first day of Yes No

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 p
By checking this box, I certify that I have read the above statements and agree to conform to all the rules and standards of UCI Medical Center

My UCI Health

UCI Health will see you now: Welcome to our new co-workers and patients from Fountain Valley, Lakewood, Los Alamitos and Placentia Linda!

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