Volunteer Interest Form

Volunteer Interest Form - Makkah Community Dental Clinic (MCDC)

Tell us about yourself and your weekend availability to volunteer with Makkah Community Dental Clinic (MCDC).
Welcome to Makkah Community Dental Clinic (MCDC)!
Thank you for your interest in joining our team of dedicated dental professionals. As a nonprofit clinic licensed and authorized by the Texas State Board of Dental Examiners (TSBDE), we are committed to excellence, legal compliance, and serving our community with professionalism and compassion. We deeply appreciate your credentials and your willingness to contribute your skills to our faith-driven mission.

MCDC is located at 3301 W Buckingham Rd, Garland, TX 75042 and is open Saturdays and Sundays, 8 AM-2 PM.

For any additional questions, contact us at info@mcdc.care
Which best describes you?
Dentists: you can skip the rest of this form.

Licensed dentists sign up on a separate page where you claim the Saturday or Sunday clinic dates you can cover (about 3 minutes, one doctor per date).

Go to the Doctor Volunteer Sign-Up →
Shadowing students: you can skip the rest of this form.

Shadowing requests go through a short separate form (about 2 minutes). We host one shadower per clinic day and will confirm your date by email or text.

Go to the Shadowing Interest Form →
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select all of the roles you are interested in volunteering ofr
Please select all of the roles you are interested in volunteering for
Dental License/Certification Number
State of Licensure
Years of Experience in each field
Areas of experience (e.g., oral surgery, orthodontics, pediatric patients)
Certifications and Qualifications (please list all relevant credentials)
Current employment / where you work
Are you available to volunteer or work on Saturdays and/or Sundays (8 AM - 2 PM)?
What languages are you proficient in?
Why do you want to join Makkah Community Dental Clinic (MCDC)?
How long can you commit to volunteering at Makkah Community Dental Clinic (MCDC)? Please specify the duration (e.g., 3 months, 6 months, ongoing) and list any specific dates or additional details
Upload your CV or Resume

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Upload a professional headshot

A clear, front-facing photo of just you, with a plain background. JPG or PNG.
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Volunteer Interest Form - Makkah Community Dental Clinic (MCDC)