Orange County Ronald McDonald House

* Indicates Required Field

Title

First Name *

Last Name *

Name of child (if applying with a child under 18)

Email *

Address line 1 *

Address line 2

City *

State *

Zip *

Home phone *

Work phone

Which is the best way to reach you? *

Date of birth (MM/DD/YYYY) *

Date of birth of child applying

Emergency contact *

Emergency phone *

Current occupation *

Employer name *

Education background *

Previous volunteer experience *

What is the reason you want to volunteer? *

I am applying for a volunteer position at *

Are you willing to make at least a one year commitment to the volunteer program? *
Yes No

Do you understand that you will be placed according to the need of the Ronald McDonald House and/or Ronald McDonald Family Room and to match your skill set? *
Yes No

What do you hope to gain from your volunteer commitment at the Orange County Ronald McDonald House and/or Ronald McDonald Family Rooms? *

Do you have any limitations (heavy lifting, limited walking, allergies, etc.)? *

Do you enjoy working alone or with others?
Alone Staff Public

When will you be available to volunteer? (Please check all that apply)? *
Morning Afternoon Evening Weekends Weekdays

Have you been convicted of a misdemeanor or felony in the last seven years? *
Yes No

If yes, please explain:

(Conviction may not necessarily disqualify you from volunteering. We may conduct a background check, and if you do not provide complete and truthful information, you could be rejected or terminated.)

How did you hear about us?
Advertisement Newsletter Friend Website Other

Any additional comments?

The Orange County Ronald McDonald House and Ronald McDonald Family Rooms are programs of Ronald McDonald House Charities of Southern California (RMHCSC).

In consideration of RMHCSC accepting my application for participation in RMHCSC programs, I agree to release and hold harmless RMHCSC and its programs from and against any and all loss, damage, claims, liability, costs, and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements, arising from or occasioned by my participation in RMHCSC programs. I understand there are certain risks inherent in volunteering and I accept those risks. I understand if an accident or injury should occur, no matter how minor, that I will complete a Volunteer Injury Report form and seek any necessary medical attention immediately.

I agree that RMHCSC may photograph my participation in this program, and I hereby release any such photographs to RMHCSC for use in its programs, publications and purposes.

I agree to the above waiver of liability *

If you are a parent or guardian applying for a minor, you agree to the following: I give permission for my child to participate in the volunteer program at the Orange County Ronald McDonald House and/or Ronald McDonald Family Rooms. I release and hold harmless the RMHCSC, its agents, and employees from responsibility or liability arising out of my child’s participation. I understand there are certain risks inherent in volunteering. I hereby grant to the Orange County Ronald McDonald House and its agents to obtain emergency medical care and related services for my child as deemed necessary. The choice of physician(s), ambulance(s), or hospital(s) shall be at their sole discretion. I certify that my child is covered under my health insurance policy should injury take place while volunteering or participating and I will be responsible for his/her medical bills.

I agree to the above parental consent statement.

Volunteer Application