Online Volunteer Application
Please fill out the form below, and we will contact you as soon as possible with further information.

Contact Information

Name............. 
Address..........
                 
City............. State.. Zip:  
Home Phone.......   
Work Phone.......   
Fax..............   
E-mail...........   

Can we call you at work?  
                 Yes  No

Areas of Interest

Please check the following if you can volunteer 
        those skills to the house when needed:

     Holiday Parties                   Cookouts
     Maintenance Days (2 per year)     Baking
     Family Dinner Nights              Gardening
     Running Errands for Families      Office Work
     Miscellaneous Projects            Large Mailings
     Other (please specify the skill you would like to share):
           

Fundraising Interests

Please check the following if you are interested in helping
        with fundraising events:

     Fashion Show               Golf Tournament
     Walk-A-Thon                Ski-A-Thon
     I cannot serve on a committee, but I would like to help
            on the day of the event as a volunteer.

Above and Beyond...

Many of our volunteers have helped us to obtain donations of food, supplies, gifts, or services that benefit our families. We encourage you to help us in this respect. Please speak to the Resident Director if you have any questions.

Desired Volunteer Position

Please indicate the type of position for which you would like to volunteer:
Shift Volunteer. Shift Volunteers work 4-hour shifts, either daily, weekly, biweekly or monthly. They are on duty to support the Resident Director, Assistant Managers or volunteer Relief Managers. Shift Volunteers must be at least 18 years of age, although exceptions may be made.
I would like to volunteer...
               times per week  OR   times per month
At what hours?
                  Morning   Afternoon   Evening
                   (9-1)      (1-5)      (5-9)
      Sunday                             
      Monday                             
      Tuesday                            
      Wednesday                          
      Thursday                           
      Friday                             
      Saturday                           

       I am not interested in working a set schedule,
              but I am interested in special events.

Relief Manager. The Relief Manager takes over the operations of the House when the Resident Director or Assistant Manager is off duty. They commit to 4- to 5-hour shifts or 24-hour weekend or holiday coverage. Some Relief Managers work one weekend a month, and others work every other month or every third month, whenever they are available. Relief Managers doing overnight shifts are given an efficiency apartment to sleep in, and they are welcome to bring their spouse and family. Relief Managers must be at least 21 years of age.

Please indicate your availablility for any of the following shifts:

Evening Shifts
                     5-9 PM     5-10 PM
         Sunday                 
         Monday                 
         Tuesday                
         Wednesday              
         Thursday               

Overnight Shifts
          Friday 5 PM to Saturday 5 PM
          Saturday 5 PM to Sunday 5 PM
          Friday 5 PM to Sunday 5 PM

I am also available for...
          Holiday Coverage     Vacation Coverage

Personal References

References will be contacted.
1.  Name...... 
    Address...
              
    City...... State.. Zip:  
    Phone..... 
    Email..... 
  
2.  Name...... 
    Address...
              
    City...... State.. Zip:  
    Phone..... 
    Email..... 
  
3.  Name...... 
    Address...
              
    City...... State.. Zip:  
    Phone..... 
    Email..... 

Have you ever been convicted of a felony?

     No    Yes

If yes, please explain:

Further Information

We'd love to hear more about you and why you'd like to volunteer at the Providence Ronald McDonald House (optional)! Please use the space below:

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More About Our Volunteer Program:

Welcome and Orientation
for the New Volunteer
The Role of the Volunteer
Fill out an Application Form Online! Check out the House Photo Gallery!
Print our Volunteer Application Form    

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