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McLaren - Hospitals in Michigan and Ohio
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Volunteer At McLaren Health Care
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Volunteer - McLaren St. Luke's
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Online Volunteer Application
Online Volunteer Application
Online Volunteer Application menu
Volunteer
Volunteer At McLaren Health Care
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McLaren St. Luke's - Volunteer Application
*Indicates required information
Personal Information
First Name *
Last Name *
Middle Name:
Date of Birth: *
Address: *
Address 2:
City: *
State: *
Zip Code: *
Cell Phone (888) 888-8888: *
Home Phone (888) 888-8888:
Email: *
Emergency Contact
Name: *
Telephone (888) 888-8888: *
Volunteer Questions
Have you ever served as a volunteer before? *
Yes
No
If yes, where and when?:
Have you ever been convicted of a felony or drug-related offense? *
Yes
No
If yes, adverse information will be considered only as it relates to the particular are of volunteer service sought and current hospital polices and guidelines. (Note: Applicants age 18 and over will be subject to a criminal background check.)
Are you a student? *
Yes
No
If yes, name of School:
Is this a school project requirement? *
Yes
No
If yes, how many hours are required?
Physician Name: *
Physician Phone (888) 888-8888: *
Physician Address: *
References (non-relative):
Name: *
Address: *
Telephone number (888) 888-8888: *
Name: *
Address: *
Telephone number: *
Area(s) of Interest - Note that the descriptions are general and not all assignments are listed. Please check all that are of interest):
Float - Escorts family members and visitors to various departments within the hospital and hospital entrances. Delivers supplies to various departments. Assists with numerous hospital mailings. Delivers floral arrangements and patient mail to patient rooms, stocks waiting areas and lobbies with magazines
Runner – Escorts patients, family members and visitors to various departments within the hospital
Patient Engagement - Assists patient care staff by visiting with patients. Assist patient/family/visitor with comfort needs. Provide escort and directions to areas within the hospital, such as, cafeteria, waiting rooms, etc.
Valet Van Driver – valet service from vehicle to hospital entrance or from hospital exit to vehicle.
Greeter – Greets and acknowledges patients, family members, visitors as they enter hospital. Assists with directions to various departments or areas within the hospital
Clerical duties within assigned department
Flower Cart - Prepares and delivers fresh flowers, on behalf of the Auxiliary, to all new patients
Gift Shop
Areas of Volunteer Interest: *
Float
Runner
Patient Engagement
Valet Van Driver
Clerical duties
Greeter
Flower Cart
Gift Shop
Other
Areas of Volunteer Interest - Other:
Special skills and interests - computer skills, public contact, office setting, etc:
Reason you would like to become a hospital volunteer:
Availability
Sunday:
Morning
Afternoon
Monday:
Morning
Afternoon
Tuesday:
Morning
Afternoon
Wednesday:
Morning
Afternoon
Thursday:
Morning
Afternoon
Friday:
Morning
Afternoon
Saturday:
Morning
Afternoon
Anticipated length of Volunteer service: *
Background
Previous Volunteer experience: *
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