Thank you for your interest in becoming a volunteer at McKee Medical Center. Once you complete the form, click the continue button at the bottom. The Volunteer Resource staff will be in touch with you.

Applicant Information

Volunteer Experience

Employment Experience

Making a Difference

Assignment Preference

Service Availability

The initial commitment expectation for all volunteers is 100 hours or 6 months of service. Please share the days and times of the week you are currently available to volunteer.

Emergency Contact

In the event of an emergency please provide two individuals we may contact

Addendum for Minor Volunteers

This document must accompany the volunteer application for all applicants under the age of 18.
Please note: Applicants must be at least 16 years of age and able to volunteer a minimum of two hours per week.
We accept volunteers age 14 and over for the teen summer program.

By signing this application you are giving your permission for your child to become a Banner Health Teen Volunteer and authorize, understand or give permission for the following:
• I/We give permission to have Occupational Health
Screening performed. Screening will include a
Tuberculin blood test,proof of vaccinations and a flu
shot (if during flu season). In place of a vaccination
record, a blood test will be administered to determine
immunity to measles, mumps, rubella, and varicella.

• I/We give permission to administer emergency medical
treatment if necessary.
• I/We assume responsibility for transportation of our
child to and from the facility.
• I/We understand that Banner Health will not be held
responsible for any accident or injury resulting from
an unauthorized departure from the facility grounds by
our child.
• I/We understand that Banner Health reserves the right
to dismiss my child from the Volunteer Program due to a
failure to comply with policies/procedures of the
Banner Health Code of Conduct and Core Behaviors.

Certification of Information

I certify the statements made in this volunteer
application are true and correct, and have been
provided voluntarily.
• I understand that my time and services are donated to
Banner Health without contemplation of future
employment and also understand that I will not be paid
for my services as a volunteer.
• I understand that prior to the onset of service, I will
be required to:
o Complete Criminal Background Screening
o Complete Occupational Health Screening
o Attend a New Volunteer Orientation session
o Complete any additional training required by my
• I understand the misrepresentation and/or withholding
of information may result in the rejection of this
application or cause my dismissal if discovered after
volunteer service begins.