Volunteer

First Name *

Last Name *

Birth Date *

A valid date as MM/DD/YYYY (for example: 11/30/2015)

Are you a minor? (A minor is anyone under the age of 18 years old) *
YesNo

Please list the name(s) of the adult(s) who will be volunteering alongside you onsite. Those listed claim responsibility for you and their paperwork serves as an acknowledgement of the rules on your behalf. *

Mobile Phone *

What is your preferred method of communication? *
Phone numberEmail

Street Address *

City *

State *

Zip *

Please share any fun facts about yourself. This allows us to get to know you a little prior to your FIRST SHIFT. *

Why RMHCDC? What draws you to volunteering here? *

Name (first and last) *

Phone number *

Are you a student? *
YesNo

Current Employment (Company Name) *

Job Title *

Please indicate your preferred volunteer location. *
 Ronald McDonald House of Washington, DC at 3727 14th St. NE, Washington, DC 20017
 Ronald McDonald House of Northern Virginia at 3312 Gallows Rd., Falls Church, VA 22042

What is your preferred shirt size? *
SmallMediumLargeXLXXLXXXL

Reference 1 Name (non-family supervisors, coworkers, or friends) *

Reference 1 Phone Number *

Reference 1 Email Address *

Relationship to Reference 1 *

Reference 1 Years Known *

Do you have any chronic health problems that we should be aware of? (special medication, under the care of a physician, etc.)? *
YesNo

Would you like to receive our quarterly volunteer newsletter to stay updated on current events? (this is emailed) *
YesNo

Are you interested in participating in our in-hospital volunteer programs (Cart w/ a Heart & Family Rooms) once they reopen? *
yesnoI would like to learn more about it

Would you also like to be added to the "on call" list? A RMHCDC staff member will reach out to you with various volunteer needs as they arise throughout the year. *
YesNo

I understand that RMHCDC requires a minimum six month commitment for recurring volunteering. *This commitment is fulfilled through a weekly, biweekly OR monthly schedule commitment. I am able to fulfill this commitment. *
 Yes

Have you ever been required to register with the Sex Offender and Crimes Against Minors Registry? *
YesNo

Have you ever been convicted of a felony? *
YesNo

Will you be volunteering as part of court-related volunteer hours? *
YesNo

I certify that the information in this application is correct to the best of my knowledge and I consent to persons listed as references responding to a verbal or written request for further information. (Type your legal name) *