RMHS

First Name *

Last Name *

Home Phone *

Cell Phone

Work Phone

Email Address *

Date of Birth *

Gender

Preferred Pronoun

Occupation

Street Address *

City *

Province

Postal Code *

Street Address

City

Province *

Postal Code

Name *

Phone Number *

Cell Number *

Relationship *

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

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

Agency

Phone

Job title & responsibilities

Agency

Phone

Job title & responsibilities

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. *

I understand that RMHC-SK has a mandatory vaccination policy for volunteers and agree to show proof of being fully vaccinated for Covid-19 upon acceptance to the volunteer program *

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Morning
Early Afternoon
Late Afternoon
Evening

Volunteer Application

Contact Information

Primary Address

Secondary Address

Emergency Contact

Health Information

Volunteer Information

Volunteer Experience #1

Volunteer Experience #2

Certification Statements