Hello! Thank you for applying for San Mateo Medical Center's Summer Volunteer Program. Applying for the Summer volunteer program does not guarantee your placement. The Program Coordinator will interview applicants within seven days of completing the application. To be considered for the summer program, you must be able to commit to volunteering from June 2026 to August 2026. Shifts available Monday-Friday, 7:00 am- 3:30 pm. Answer questions 18-21 with a minimum one-paragraph detailed response.

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* 1. Select the volunteer program you can commit to completing. Visit our website and click the seasonal volunteer arrow to learn more about our program.

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* 2. Are you 15 years years or older?

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* 3. Full name

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* 4. Birthdate

Date

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* 5. Phone number

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* 6. Email address

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* 7. Address, City, State, Zipcode

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* 8. Emergency Contact

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* 9. I understand that I will be required to begin as greeter before rotating to other departments. (Volunteers will rotate as opportunities become available).

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* 10. Can you commit to volunteering a minimum of four hours a week?

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* 11. Can you commit to volunteering a maximum of twelve hours a week? If not enter max amount in other

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* 12. Are you interested in lunch and learn session? Who would you like to hear from (Lab Manger, CEO, Nurses ect)?

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* 13. What is the highest level of education you have completed?

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* 14. What are your hobbies, skills and special interests?

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* 15. Please give any other information you feel is pertinent to your application

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* 16. What days and times are you available to volunteer?

  Morning 7:00 am- 9:00 am Mid-morning 9:00 am-11:00 am Afternoon 1:30 pm- 3:30pm
Monday
Tuesday
Wednesday
Thursday
Friday

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* 17. Have you volunteered in San Mateo Medical Center before? If yes in what year?

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* 18. Experience that may be helpful in placing you.

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* 19. Please explain briefly your reasons for volunteering

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* 20. Please indicate specific position(s) or area(s) of interest: You are not guaranteed a volunteer position in this location. Our hospital does not place volunteers in specific specialties.

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* 21. Tell me about a time you made an error. What was the mistake? How did you fix it? What did you learn from it? One paragraph minimum response.

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* 22. How do you balance personal goals with community needs in your volunteer work? Respond in detail with a one paragraph minimum response.

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* 23. Can you tell us about a time you had to demonstrate empathy or compassion for someone? Proivde a detailed response one paragraph minimum.

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* 24. What is the most interesting place you’ve ever traveled to, and what did you learn from the experience?

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* 25. Personal and professional references (Please exclude family): List two references.

Examples: Teachers, Coaches, Tutors and employers

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* 26. Please be aware that a criminal record does not automatically disqualify you from volunteer work at SMMC. Have you ever been convicted of a crime? If yes, please describe the nature below.

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* 27. Have you ever been arrested for an offense for which you are currently out on bail or your own recognizance, pending trial? If yes, please describe the nature below.

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* 28. PLEASE READ THE FOLLOWING AND SIGN TO ACKNOWLEDGE YOUR AGREEMENT:

I hereby make application to the volunteer organization of San Mateo Medical Center (SMMC). I fully understand that any significant misstatement in or omission from this application will constitute cause for denial or revocation of my volunteer status. I hereby affirm that the information furnished by me is true and complete to the best of my knowledge and is furnished in good faith. I present this application in the expectation that the confidentiality and privacy of this information will be preserved.
Because I am donating my time, I understand that I am not an employee of SMMC and that I will not be paid for my work. I also understand that this organization is not obligated to provide a placement, nor am I obligated to accept the position offered.

I agree:
1. To perform my duties to the best of my ability.
2. To adhere to all medical center rules and procedures, including the policy of non-discrimination and harassment.
3. I will consider as confidential all information, which I may hear directly or indirectly concerning a patient, doctor, or any member of the medical center staff.
4. That all volunteer assignments can be terminated at any time, by either party, with or without notice and with or without cause. No volunteer assignment is guaranteed for any specific period of time.
5. To meet time and duty commitments, or to provide adequate notice so that alternate arrangements can be made.
6. That SMMC may check references, and/or do a background check which may include a fingerprint check and may use such information as may be obtained in making a decision regarding my placement.

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