Ronald McDonald House Charities

Please check which location you'd like to volunteer at:*

Ronald McDonald House in New Hyde Park
Ronald McDonald Family Rooms at Stony Brook Children's Hospital

Volunteer Applicant's Information

Prefix*

Mr.
Ms.
Mrs.

Last Name*

First Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of Birth*

If Married, Spouse's Name

First Last

Personal Reference*

First Last

Personal Reference's Phone*

Student Applicants

High School

Graduation Year

College

Graduation Year

Non-Student Applicants

Employment Status

Employed
Self-Employed
Retired

Employer's Name

Employer's Phone

Notify in Case of Emergency

Name*

First Last

Relationship*

Phone*

Physician*

Prefix First Last

Physician's Phone*

Availablility:

Please indicate the days and times you are available to volunteer:

Available Days

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Available Shifts

9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM

Your Skills

Please check the skills in which you are proficient:

Skillset

Computer Work
General Office Work
Van Driver
Public Speaking (Training provided)
Fundraising
Special Events
Foreign Language Proficiency
Other Skills

Computer Skillset

Data Entry
Microsoft Word
Microsoft Excel
Cash Receipt Ledger

Office Work Skillset

Reception/Telephone
Filing
Typing

Public Speaking Skillset

Speakers Program (Represent RMHC NYM at offsite events)
Tour Guide (Give tours to visitors at Ronald McDonald House or Ronald McDonald Family Rooms)

Please indicate language

Other skills

How did you hear about volunteer opportunities at RMHC NYM?*

Please list any other organization for which you volunteer, describe your duties and what you enjoyed most.*

Why are you interested in becoming a volunteer at RMHC NYM?*

eSignature*

Date*

Volunteer Application

Volunteer Applicant's Information

Student Applicants

Non-Student Applicants

Notify in Case of Emergency

Availablility:

Your Skills