Online Volunteer Application

Volunteer

Volunteer At McLaren Health Care

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? *

YesNo

If yes, where and when?:

Have you ever been convicted of a felony or drug-related offense? *

YesNo
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? *

YesNo

If yes, name of School:

Is this a school project requirement? *

YesNo

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: *