Thank you for your interest in volunteering at Regional Medical Center of San Jose. Below is our online application form for adults (18 years old and above).

Applications accepted year round

All new volunteers must be medically cleared by our employee health services (COVID booster, flu vaccine, tuberculosis, drug screening, immunization records and proof of immunity, physician report) and be willing to have a background check performed. After you are cleared by Employee Health and Human Resources, you will attend an Orientation and Training session before being placed in a service. Most volunteers come once a week for 3 hours; a minimum commitment of 6 months of service (generally 78-100 hours is anticipated).

Thank you.

What do I do as a volunteer?

  • Escort patients or visitors to their destinations
  • Provide hospitality to visitors
  • Advocate for our hospital to the community
  • Data Collection/Data Entry
  • Clerical Assistance
  • Equipment maintenance

All fields with an asterisk (*) are required.

Thank You

The form was submitted successfully.

2022-FW-Regional Medical Center of San Jose-Adult Volunteer Application-PI
Today's Date*
Name*
Gender*
Date of Birth*
Address*
Text Message?*
Are you presently employed?*
Employer, Position/Job Title
Are you currently attending college?*
Is volunteer work a requirement for college credit?*
Number only
Have you ever been convicted of a felony or misdemeanor?*
Limit your response to 1 paragraph or less
Limit your response to 2 paragraphs or less

ONLY select times you know you are available, over selecting is not appropriate. Time slots are not absolute, for example, if you are available from 2pm to 5pm, you can select 3pm - 6pm.

Desirable times for you to volunteer?

Placement dependent on volunteer's availability and/or experience

Are you interested in volunteering in the Emergency Department as an "ED Patient Advocate"?
Name, Telephone Number

Rules and regulations

  1. My services are donated to the hospital for humanitarian, religious or charitable reasons. I expect no payment, benefits or future employment. I do not expect to receive the minimum wage or overtime for my services. I will serve a minimum of 3 hours per week and commit to a schedule for at least 6 months.
  2. I will serve a minimum of 6 months and for a minimum of (78-100) hours.
  3. If unable to come in on my assigned day or time I will contact the Manager of Volunteers to inform and reschedule to make up the lost time. I understand that 3 unexcused absences is cause for terminating my membership as a volunteer. I also understand that failure to notify the department of an absence is considered unexcused absence.
  4. I am willing to serve wherever I am needed at the hospital.
  5. I understand that I will be taking orders and following directions from the Volunteer members, Junior Ambassadors, hospital personnel, Administration and other staff. (If you have difficulty doing this, you should reconsider serving as a volunteer)
  6. I understand that only black pants or skirts and the volunteer polo shirt along with RMC identification badge are to be worn while on duty and that my appearance will be neat and clean. If you are assigned to volunteer in a specific department, you may be assigned a different uniform.
  7. I shall submit to examinations including TB screen, drug screening and blood test, physical exam as well as an annual flu shot that are necessary as part of my volunteer service. I authorize the person taking the tests to report the results to Regional Medical Center of San Jose.  I shall also submit the required vaccination evidence including COVID booster, immunizations, and titers.
  8. I shall be punctual, conscientious and endeavor to make my work and conduct professional in quality. I will attempt to resolve any problems related to my volunteer activities with the Manager of Volunteer Services
  9. I shall at all times uphold the philosophy and standards of the hospital. 10. I understand that the Volunteer Services Department reserves the right to terminate my volunteer status in their own sole discretion at any time.
Please read the rules and regulations above carefully. If accepted as a hospital volunteer, I agree that:*
Please type your initial above (e.g. if you are Joe Toogood, you type JT)