Ronald McDonald House - Temple Texas Chapter

Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

DOB*

Highest Level of Education

Place of Employment*

Title*

May we contact you at work?*

Yes
No

Work Phone:

How did you hear about this volunteer opportunity?

Why do you want to be a RMHC Volunteer?*

Previous Volunteer Experience(s) with contact name and phone number:*

Do you speak a foreign language?*

Yes
No

Which language do you speak?

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

What are your hobbies?

Are you interested in a specific volunteer position and / or activity? (Please place an “X” by all that apply)

Ronald McDonald House
Ronald McDonald Family Room
Special Events
Prepare a Meal for the Families
Other

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

Shift:

Morning Shifts

Monday Morning
Tuesday Morning
Wednesday Morning
Thursday Morning
Friday Morning
Saturday Morning
Sunday Morning

Afternoon Shifts

Monday Afternoon
Tuesday Afternoon
Wednesday Afternoon
Thursday Afternoon
Friday Afternoon
Saturday Afternoon
Sunday Afternoon

Evening Shifts

Monday Evening
Tuesday Evening
Wednesday Evening
Thursday Evening
Friday Evening
Saturday Evening
Sunday Evening

Please give two personal references:

1 Name Phone

Please give two personal references 2:

2 Name Phone

In case of emergency: Contact

Relationship

Phone

Please add any additional information you feel is relevant to your application:

By submitting this form, 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 Temple Texas.

Thank you for your interest in volunteering at Ronald McDonald House Charities.

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