Required fields are marked with an asterisk *. This form must be filled out within 30 minutes or it will expire for security reasons.Personal InformationName *Other names usedStreet AddressApt.CityStateSelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipHome PhoneCell PhoneE-mail AddressDate of Birth (Applicants must be 18 years or older) Emergency Contact InformationEmergency Contact NameEmergency Contact Phone NumberEmergency Contact AddressYour relationship to the contactPersonal References (not related to you)Reference #1 NameReference #1 Phone NumberReference #2 NameReference #2 Phone NumberPersonal SkillsPlease check which of the following skills you have: Computer Languages Photography Crafts Newsletter Writing/Editing Public Speaking Fundraising Musician Teaching Hospitality Organizing Events Human Resources Marketing Sales Clerk Medical-RelatedWork ExperienceIf you're currently working please write the name of your employer and how many hours you work per weekAvailabilityPlease check the days and times you are available to work (keep in mind that you are committing to a minimum of 4 hours a day each week) Monday morning Tuesday morning Wednesday morning Thursday morning Friday morning Saturday morning Sunday morning Monday afternoon Tuesday afternoon Wednesday afternoon Thursday afternoon Friday afternoon Saturday afternoon Sunday afternoon Monday evening Tuesday evening Wednesday evening Thursday evening Friday evening Saturday evening Sunday eveningPlease list previous community involvement (at hospitals, schools, agencies, boards/committees, caregiver roles)Why would you like to volunteer with us?Were you referred/recruited by anyone?Your preferred style of volunteer service Patient Contact Reception Clerical Computer Craft-Related Gift Shop Clerk OtherThank you for your interest in the Volunteer Program at Medical City McKinney. Before you select Submit, please right click and select Print so you will have a copy of the application. Then call (972) 547-8010 (the Front Desk) to schedule a personal interview on a Tuesday or Thursday, at 9:30 a.m. or 10:30 a.m. Rate Your Experience Submit SuccessThe form was successfully sent. There was an error with the form submission.