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(516) 775-5683
(516) 775-5683
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Volunteer Application
Please check at which location you prefer to volunteer:
*
Ronald McDonald House in New Hyde Park - must be 16 or older.
Ronald McDonald Family Rooms at Stony Brook Children's Hospital - must be 18 or older or 16-17 accompanied by a guardian over the age of 21.
Volunteer Applicant's Information
Prefix
*
Mr.
Ms.
Mrs.
Last Name
*
First Name
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Cell Phone
*
Email
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
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
*
Dr.
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 - Sunday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Monday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Tuesday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Wednesday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Thursday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Friday
9 AM - 1 PM
1 PM - 5 PM
5 PM - 9 PM
Available Shifts - Saturday
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
*
Date Format: MM slash DD slash YYYY
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