Volunteer Application

Please fill out this online form to submit your application to Ronald McDonald House Winnipeg. Please note that a criminal background and child abuse registry check (performed within the last month) is required to volunteer.

Date: * Salutation: Name * Address: * City: * Province: * Postal Code: * Home Phone: Work: Cell: Best place to reach me: * E-mail: * Birthday (month / day): *

Education

Formal education is not required to be a volunteer. We welcome experience of all kinds!

Name of High School High School - Area of Study High School - Start / End Dates Name of Post Secondary School Post Secondary - Area of Study Post Secondary - Start / End Dates Name of Professional Training / Trade School Professional Training / Trade - Area of Study Professional Training / Trade - Start / End Dates Are you receiving credit for your volunteer hours? If Yes, list number of required hours: Are you certified in First Aid and CPR?

Employment History

Employer (1) Job Title (1) Start Date (1) End Date (1) Reason for Leaving (1) Employer (2) Job Title (2) Start Date (2) End Date (2) Reason for Leaving (2) Employer (3) Job Title (3) Start Date (3) End Date (3) Reason for Leaving (3) Does you current employer offer a donation matching program?

Volunteer Experience

Organization (1) Placement (1) Start Date (1) End Date (1) Reason for Leaving (1) Organization (2) Placement (2) Start Date (2) End Date (2) Reason for Leaving (2) Organization (3) Placement (3) Start Date (3) End Date (3) Reason for Leaving (3) Have you ever applied to volunteer with Ronald McDonald House before? What type of volunteer work are you interested in? Which place are you most interested in volunteering? Check the skills and experience you have to offer: If Other, please list your skills and experience here. Check you main reasons for volunteering:

Academic Credit
Explore careers
New skills
Help others
Experience
Relative / friend
Stay active
Self esteem
Other

If Other, list your reasons here. How did you find out about our volunteer program?

Please indicate the times you are able to volunteer with you preference for shifts (1st, 2nd, 3rd choice):

Monday Morning Monday Afternoon Monday Evening Tuesday Morning Tuesday Afternoon Tuesday Evening Wednesday Morning Wednesday Afternoon Wednesday Evening Thursday Morning Thursday Afternoon Thursday Evening Friday Morning Friday Afternoon Friday Evening Saturday Morning Saturday Afternoon Saturday Evening Sunday Morning Sunday Afternoon Sunday Evening How frequently would you like to volunteer? Are there times throughout the year that you are not available (vacation, etc.)?

Health Information

Please list any intellectual or physical disabilities or health problems which may affect your ability to perform as a volunteer and that you wish to have taken into consideration when determining a volunteer placement. Have you had chicken pox?

Who should we contact in case of an emergency?

Emergency Contact Name: * Emergency Contact Phone: * Emergency Contact Relationship: *

References

Please list three references for us to contact. They may be employers (past or present), volunteer administrators, teachers, etc. We cannot accept family members or personal friends as references.

Name of Reference (1) How do you know this person? (1) Phone Numbers (Day & Evening) (1) Name of Reference (2) Organization (2) How do you know this person? (2) Phone Numbers (Day & Evening) (2) Name of Reference (3) Organization (3) How do you know this person? (3) Phone Numbers (Day & Evening) (3) I certify that the information contained in this application is correct to the best of my knowledge and consent to my current and previous employer(s) and persons given as references responding to verbal and/or written requests for further information.

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