Volunteer Application

Required Fields marked with *

*Full Name:  

Nickname:  

Date of Birth:  

Address:  

*Phone:  

*Email:  

Employer:  

Employer Address:  

Employer Phone:  

May we contact you at work?  Yes No

Emergency Contact Name:  

Emergency Contact Relationship:  

Emergency Contact Phone:  

Please check the area(s) you are interested in:
 Fundraising/Development
 Housekeeping
 Office
 Holiday Office Relief
 Homemade Meals
 Baking
 Other

If “Other” selected above please explain:

Please check when you are available:
 Mornings
 Afternoons
 Evenings
 Weekends
 Holidays

Volunteer Experience:

Special Skills:

Physical Limitations:

How did you hear about the Ronald McDonald House?

Have you or anyone you know had an experience with a Ronald McDonald House?

What are your personal expectations of this volunteer experience?

Have you ever been asked to relinquish a volunteer position?  Yes No

If you answered “yes” above please explain:

Have you ever been charged with and/or convicted of a criminal offense, including but not limited to criminal neglect, abuse, or assault?  Yes No

If you answered “yes” above please explain:

Please provide three non-family references:

Contact 1 Name:  

Contact 1 Address:  

Contact 1 Phone:  

Contact 2 Name:  

Contact 2 Address:  

Contact 2 Phone:  

Contact 3 Name:  

Contact 3 Address:  

Contact 3 Phone:  

Terms

I have completed and reviewed this entire application and attest that the information provided is true and complete.

I agree with the statement above: