VOLUNTEER APPLICATION

PERSONAL INFORMATION

First Name:

Last Name:

Primary Email Address:

Secondary Email Address:

Street Address:

City:

State:

Zip:

Preferred Phone Number:

Type: HomeWorkCell

Do You Receive Text To Your Cell Phone?YesNo

Preferred time to call:MorningAfternoonEveningAnytime

Alternate Phone Number:

Date of birth:

Gender:MaleFemale

EMERGENCY CONTACT

Emergency Contact (Please list someone other than self):

Relationship to Volunteer:

Emergency Contact Phone Number:

INTEREST Questions

I am inquiring about volunteering as: ---A representative of a groupAn individual over 18 years of ageAn individual under 18 years of age

I/we want to volunteer because I/we: ---Have a court order assignmentNeed community service hoursWant to build my resumeWant to give back to my communityWant to use specific skills to help RMHC

I/We am/are interested in: ---Hours required to fulfill my/our community serviceMultiple 3-hour shifts per month for 12 monthsOne 3-hour shift per month for 12 monthsSpecial projectsMeal preparationWeekend managementDinner hostKitchen refresherSandwich makerWeekend manager

I/we am/are available to volunteer: ---9 AM – NoonNoon – 3 PM3 PM – 6 PM6 PM – 9 PMAny

Which Ronald McDonald House Charities program are you interested in volunteering in? ---Ronald McDonald HouseRonald McDonald House Adopt-A-Meal programRonald McDonald Family Room

Are you interested in serving on the Operational Committee? ---YesNo

Are you interested in serving on a Fund Raising Event Committee? ---YesNo

Have you read the job description for the volunteer opportunity for which you are applying?YesNo

Thank you for your interest in volunteering at Ronald McDonald House Charities of Greater Chattanooga. You will receive an email from ricky.robbins@rmhchattanooga.com soon.