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Recent News

Holly Robinson Peete Visits PRMH for World Children's Day
To celebrate World Children's Day, Holly Robinson Peete made a special appearance at the Front and Erie House on Monday, November 10.

children

Volunteer

Submit this form to volunteer at the Philadelphia Ronald McDonald House

I am interested in volunteer opportunities at:

Chestnut Street

Front and Erie

Family Room at CHOP

Contact Information

First Name: *

Last Name: *

Gender: *

Date of Birth: *

Street: *

Apt/Suite #:

City: *

State: *

Zip Code: *

Country: *

Home Phone #: *

Work Phone #:

Cell Phone #:

Email: *

Email (confirm): *

Format for email: *

School/Work

May we call you at work:

Best time of day to reach you:

Occupation/Title:

Employer:

Work Address:

School/College:

Auto (for garage parking)

Make:

Model:

Color:

Emergency Contact

Please list a person for us to contact in the event of an emergency.

Day

Name:

Phone #:

Relationship:

Evening

Name:

Phone #:

Relationship:

Weekend

Name:

Phone #:

Relationship:

Medical History

If you have any physical limitations or medical condition that would hinder your ability to carry out volunteer work or that we should be aware of, please list below:

If you have ever been convicted of a crime, please list below and describe as fully as possible:

Have you received all childhood immunizations:

Have you ever had chicken pox:

Have you been immunized for chicken pox:

Have you been tested for TB within the last two (2) years:

Was the test negative:

Personal References

Name:

Relationship:

Phone #:

Name:

Relationship:

Phone #:

Referrer

How did you learn about volunteering at the Philadelphia Ronald McDonald House:

Please specify:

Volunteer Experience

Please list other organizations where you have volunteered and the name and phone number of a contact.

Organization:

Contact:

Phone #:

Organization:

Contact:

Phone #:

Skills

We need volunteers who are flexible and willing to do whatever is needed; but volunteers also have special skills, talents, and interests. Please select all talents or services in which you have an interest or skill.

Telephone skillsSpecial eventsSpeakers BureauComputer SkillsTraining volunteersMaintenanceVan DriverFundraisingReceptionistTutoringAccountingAdmin. Office Asst.Writing thank-you notes (attractive, legible handwriting required)Kitchen volunteer (organizing supplies; cleaning; preparing meals)Interpreter (Please specify language(s) in which you are fluent)

Other Skills:

Availability

Which times are you available to volunteer: (Please check the shift)

9 a.m. to 1 p.m.

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

Sun.

Holidays

1 p.m. to 6 p.m.

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

Sun.

Holidays

6 p.m. to 9 p.m.

Mon.

Tues.

Wed.

Thurs.

Fri.

Sat.

Sun.

Holidays

Other (Please specify):

Agreement *The information that I have given on this Volunteer Application and any attachments to the application are accurate and complete. I agree to abide by the policies and procedures set forth by the Philadelphia Ronald McDonald House as currently outlined in the Volunteer Handbook and as may be changed or amended from time to time. Further, I authorize the release of information by my references to the Philadelphia Ronald McDonald House.

I acknowledge the commitment I am making to the Philadelphia Ronald McDonald House and shall faithfully fulfill my obligation to be present when scheduled to volunteer. I agree to promptly notify the House of illness or any other reason that will prevent me from volunteering.

I agree

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Philadelphia Ronald McDonald House • 3921-3925 Chestnut Street • Philadelphia, PA 19104
Phone: 215-387-8406 • Fax: 215-386-4977 • Email: prmh@philarmh.org
Copyright © 2008 Philadelphia Ronald McDonald House