Status of Volunteer Opportunities We are currently accepting applications for Manhattan, Basking Ridge, Commack , Rockville Centre and Westchester. Thank you for your interest in the volunteer program at Memorial Sloan Kettering Cancer Center. About You Title - None -Mr.Ms.Mrs.MissDr.Other... First Name Last Name Gender Male Female Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016 Education Information Are You Currently a Student? Yes No If so, please specify High school College Master's Program Other Highest Level of Degree Completed - None -High School DiplomaCollege DegreeMaster's DegreePhD DegreeMD DegreeOther Employment Information Please select your employment status. Full-time Part-time Unemployed Retired List your current/recent employer or school information Mailing Address Address Line 1 Address Line 2 Apartment Number City State/Province - None -Not applicableAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanOther... Zip/Postal Code Contact Information Preferred Telephone Alternate Phone Alternate Phone Email Confirm Email Additional InformationPlease provide detailed answers when appropriate. Do you have prior volunteer experience? Yes No If yes, please describe. Tell us why are you interested in volunteering at Memorial Sloan Kettering Are you fulfilling a school requirement? Yes No What type of volunteer assignment are you looking for? Do you have any special skills or hobbies? Is there anything else you would like us to know about you? What languages do you speak fluently, other than English? Please indicate your general availability. Weekday mornings (9:00 AM - 1:00 PM) Weekdy afternoons (1:00 PM - 5:00 PM) Weekday evenings (6:00 PM - 8:00 PM) Weekend mornings (9:00 AM - 1:00 PM) (Manhattan Only) Weekend afternoons (1:00 PM - 5:00 PM) (Manhattan Only) Please indicate which MSK location you would like to volunteer at. - None -ManhattanBasking RidgeCommackRockville CentreWest Harrison ReferencesProvide two references from professional contacts, student advisors, or colleagues. No relatives, please. Name Relationship Phone Email Name Relationship Phone Email Emergency Contact Name Relationship Phone Optional InformationThe following questions are being asked strictly for statistical purposes. Your answers do not affect the selection process. Have you ever been a patient at Memorial Sloan Kettering Cancer Center? Yes No Is an immediate family member or close friend currently a patient at Memorial Sloan Kettering Cancer Center? Yes No Leave this field blank
