VOLUNTEER APPLICATION FORM

Name:

Address:

City:

State:

Zip:

Phone:

Your email address:

Date of Birth:

Place of Employment:

May we contact you at work?:

Yes

Work Phone Number:

How did you hear about this volunteer opportunity?:

Why do you want to be a Ronald McDonald House Charities Volunteer?:

Previous Volunteer Experience(s)

Contact One

Name:

Phone Number:

Contact Two

Name:

Phone Number:

Do you speak a foreign language?:

Yes

If yes, which one(s)?:

Do you have other special skills that might benefit the House? (marketing, finance, database, etc.). Please explain.:

Are you interested in a specific volunteer position and/or activity?:

If other please describe.:

Please check the days and times that you are available to volunteer.:

Please give two personal references:

Reference One

Name:

Phone:

Reference Two

Name:

Phone:

In case of an emergency:

Contact:

Relationship:

Phone:

By signing below, I certify that the information I have provided on this application is true to the best of my knowledge and agree to respect the families’ right to confidentiality during and after my time at Ronald McDonald House Charities of Pittsburgh, Inc.

Signature:

Type in your full name for signature.

Today's Date:

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McDonald's, Ronald McDonald House Charities, Ronald McDonald House Charities Logo, RMHC, Ronald McDonald House, Ronald McDonald Family Room, and Ronald McDonald Care Mobile.
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