RMHS

Contact Information

First Name *

Last Name *

Home Phone *

Cell Phone

Work Phone

Email Address *

Date of Birth *

Gender *

Occupation

Primary Address

Street Address *

City *

Province *

Postal Code *

Secondary Address

Street Address

City

Province

Postal Code

Emergency Contact

Name *

Phone Number *

Cell Number *

Relationship *

Health Information

Do you have any health concerns that may affect children staying at the House or visiting the Family Room?

Please describe

Do you have any physical limitations that could restrict your volunteer activities?

Please describe

Volunteer Information

Are you available year round?

Please specify months you are NOT available

Are you available to volunteer holiday weekends?

Reason for Interest

Special Skills

Previous/Current School and/or Work Experience

Volunteer Experience #1

Agency

Phone

Job title & responsibilities

Volunteer Experience #2

Agency

Phone

Job title & responsibilities

Certification Statements

I certify that the information I have given in this application is correct to the best of my knowledge. I understand the importance of this volunteer commitment and have answered the application questions honestly. As a volunteer at Ronald McDonald House, I agree to abide by all the rules and adhere to all the policies of Ronald McDonald House. I understand that I am an ambassador for Ronald McDonald House and my conduct will reflect this commitment. *

You have my permission to call the above agencies and verify that the above information is true. *

I understand and agree to obtain a Police and Child Welfare check, agree to terms of Confidentiality Agreement, and provide two personal reference letters. Failure to do so invalidates this application. *

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Volunteer Application

As a Ronald McDonald House Volunteer your time is greatly appreciated and valued by the staff as well as every family who walks through the door.

We look forward to meeting you!