Volunteer Group Interview Interest Form

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Other Volunteer Interest

What other volunteer area are you interested in?

Music Program

You must commit to 1 shift of 30 minutes - 1 hour per week. Are you able to do so?

Yes No

I acknowledge that I will be required to audition during my interview with Volunteer Services.

I acknowledge

What instrument do you play?

Are you able to provide your own instrument if accepted into the volunteer program? (On-site piano available at UA Cancer Center)

Yes No

NICU (Neonatal Intensive Care Unit)

To volunteer as a NICU Cuddler, it is preferred that you are of retire age or older (50 years +) to meet the requested time commitment. Please indicate your age group below:*

18-30 years old 31-43 years old 44-56 years old 57 and up

If you are interested in becoming a NICU Cuddler, would you be able to commit to 2 years of consecutive volunteer service?*

Yes No

Describe your experience working, volunteering or being a caregiver to children. Please elaborate on your qualifications/experience (if any) with hospitalized children.*

Pediatrics

You must commit to 6 consecutive months and 100 hours of service to volunteer in Pediatrics. Are you able to do so?

Yes No

Describe your experience working, volunteering or being a caregiver to children and/or teens.*

If you do not have any previous experience, please elaborate on your qualifications regarding volunteering with hospitalized children and/or teens.*

What skill sets do you plan to put forth while volunteering in Pediatrics?*

To volunteer in a Pediatrics, you must be 18 years or older. Please indicate your age group below: *

Teen (16-17 years old) 18-30 years old 31-43 years old 44-56 years old 57 and up

Spiritual Care

I acknowledge and understand proselytizing (witnessing, converting, or sharing one's faith) while volunteering with Banner Health is not permitted.*

I acknowledge and understand

Do you have a letter of confirmation of compliance or endorsement from your faith community to engage in any Volunteer Spiritual Care responsibilities and duties at Tucson Banner University Medicine facilities? (This is required prior to attending an interview)*

Yes No

Please indicate your faith community and denomination (if applicable):*