CHOP MFP Volunteer Interest and Application Form

CHOP MFP Volunteer Income Tax Assistance (VITA) Volunteer Registration

Please make a note of your user ID and password for the CHOP Volunteer Portal.

If you have previously applied to volunteer at CHOP, please log into your current Volunteer Portal account and then return to this page. If you do not know your user ID or password, please email friscoa@chop.edu.

* First name

* Last name

Pronouns (if you wish to share)

* Birthdate

* Home Address:

Apt. or Ste. #

* City

State

* Zip/postal

* E-mail

* Primary Phone Number

Phone (Mobile): By providing my mobile number, I agree to receive recurring text messages from CHOP and its affiliates/partners via automated means to my mobile number for any reason related to the CHOP Volunteer Program. I understand that my consent to receive text messages is not required to participate in the CHOP Volunteer Program or purchase any goods or services from CHOP (e.g., CHOP healthcare services).  I understand that message and data rates may apply, and I may request to opt out of text messaging at any time by texting 'stop' in reply to any CHOP text sent to me.

* Emergency Contact First and Last Name

* Emergency Contact Relationship (spouse, parent, etc.)

* Emergency Contact Phone (Mobile)

Are you a current CHOP employee or intern?

Do you have previous involvement with CHOP in any capacity (volunteer, staff, intern)?

When were you previously involved at CHOP?

I understand I will need to comply with a background check, including but not limited to FBI fingerprinting.

I understand I will need to comply with meeting the health requirements listed below, for the safety of our patients. I further understand that CHOP makes no exemptions for the aforementioned requirements.Flu vaccination during flu season (September-April)Measles, Mumps, and Rubella (MMR vaccination)Varicella (chicken pox)Tdap vaccination (Tetanus, Diphtheria, and Pertussis)TB Screening

Which CHOP VITA role(s) would you like to fulfill? Training provided for all roles. Select all that apply.

CHOP MFP requires volunteers to commit to at least 5 shifts during tax season, with 10 shifts strongly preferred. All shifts will take place in-person at Karabots Pediatric Care Center (4865 Market St, Phila, PA 19139). Which shift(s) will work best for your schedule (January-April)? Select all that apply.

Do you have any specific challenges or limitations that you wish to disclose? If so, please share below.

Application Agreement: I understand and agree that submitting this application form does not automatically qualify me to be a Children's Hospital of Philadelphia (CHOP) volunteer, and that there may be certain qualifications I must meet, including the established volunteer policies and procedures, before I may begin volunteering. I affirm that the information provided in this application is true and complete. Falsification of any information can result in immediate dismissal from the CHOP Volunteer Services Department. I hereby give my permission and authorize representatives of Children's Hospital of Philadelphia to investigate any or all statements I have made in this application. I understand that as volunteer, I may not accept payment, benefits or compensation for my service. I understand that the Wawa Volunteer Service Department will not write letters of recommendation, however it will confirm my volunteer start and end date with total hours upon request. I understand that my volunteer service does not guarantee or secure employment with CHOP and that my volunteer service does not give me any advantage over other applicants for open positions with CHOP. As a volunteer, I understand that I am not an employee of CHOP and my volunteer position is not a promise or a guarantee of any future employment with CHOP.

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