Volunteer Application Form

Volunteer Application

Ronald McDonald House Charities of Northwest Florida
Ronald McDonald House of Northwest Florida

Volunteer Application

Welcome to the online In-House Volunteer Application and Background Check Disclousre for Ronald McDonald House Charities of Northwest Florida. We apprecitate you taking the time to carefully fill out each field on this form.

Volunteers are an integral part of Ronald McDonald House (RMH). Being a RMH volunteer is easy, fun and rewarding. From household chores, to cooking, to decorating, to yard-work, there are numerous opportunities for individuals as well as large groups to get involved.

Please allow up to five business days for your application to be processed. Once the application has been processed and approved, a RMH staff member will contact you with instructions on how to sign up for volunteer shifts.

Want to keep up with the latest updates for opportunites to serve at Special Events? Follow our social media pages on Facebook and Instagram!

Please contact our Volunteer Coordinator, Krystal, at 850.477.2273 or through email at volunteer@rmhc-nwfl.org if you have any questions.

Applicant Information
Today's Date:

Month Day Year
Date
Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Place of Employment and Position, if applicable
Do any of the individuals seeking to utilize the program – or volunteer at the program site - have a travel history from abroad within the past 14 days? *

Yes No
Have any of the individuals seeking to utilize the program – or volunteer at the program site - knowingly had contact with a traveler who recently visited abroad within the past 14 days? *

Yes No

Volunteer Opportunities
Administrative/Family Services Volunteer

Count me In
In this role, you will answer and direct phone calls, take information from prospective families inquiring about a room, properly sign-in visitors and meal donors, log-in and process donations, assist with mailings, facilitate room checks and check-outs, perform House tours and more.

As an Administrative/Family Services Volunteer, you should commit to a regular and consistent schedule, preferably on a weekly basis.
Heart of the Home Volunteer

Count me In
Family common rooms are the heart of our home! This is the position for you if you want to greet guests when they enter the dining room or kitchen, answer questions regarding the location of items in these areas, take inventory of groceries in our pantry and replenish items, prepare lunch or dinner as needed, and perform general housekeeping duties.

Heart-of-the-Home Volunteers may commit to a weekly shift or volunteer periodically.
Special Events

Count me In
Volunteers are needed to help with the planning and staging of several special events which raise funds for Ronald McDonald House Charities of Northwest Florida. From being a committee member, to assisting with various tasks leading up to the event, to helping on the actual day, volunteers have a wide variety of roles from which to choose. Being a Special Events Volunteer is a great way to get involved for an individual or a group.
Community Services Volunteer

Count me In
Family Room Volunteer at Studer Family Children's Hospital

Count me In
Our Family Room provides a soothing place of comfort, care and compassion within the walls of the hospital, where families can rest, retreat and relax while being just steps away from their sick child at Studer Family Children's Hospital. This is an opportunity to gain knowledge and experience in the world of family-centred care, to gain a deeper understanding of the issues faced by families with a sick child, and to know at the end of each shift that you have made a difference in the lives of our families.
Special Event Volunteers: Which events or committees interest you?

Kaps for Kids Committee Pensacola (meets January through May) Firecracker 5K Committee Pensacola (meets May through July) Third Party Fundraisers: Car Show, Fishing Rodeo, 1k/5k/10k Races, Golf Event
Previous Volunteer Experience - Summarize your previous volunteer experience.
Special Skills or Qualifications - Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Person to Notify in Case of Emergency:
Name:
Street Address:
Relationship to Volunteer:
City, State, Zip:
Best Contact Number

Criminal History Background Check Authorization
Criminal History - Have you ever plead guilty to or have you ever been convicted of a crime identified as a misdemeanor or felony, including but not limited to traffic violations? *
If yes, please explain.
Required Hours - If you are completing volunteer hours for a class, program, court-mandated hours, or other program please indicate below or select NOT APPLICABLE.

Hours needed Not applicable
Program/Class/Other:
Contact#:
Required Number of Hours:
Required Due Date:

Volunteer Agreement
Agreement and Signature
I affirm the information provided on this application is true and complete. I agree to conform to all policies and regulations as stated by Ronald McDonald House Charities of Northwest Florida. I understand by signing this form I am giving permission for a security check including, but not limited to, a criminal background check with any State agency, Federal agency, or any other appropriate agency. I understand this application does not guarantee a volunteer placement. I understand if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my privilege to volunteer being revoked.
Electronic Signature: *
Date:

Month Day Year
Date
VOLUNTEER AGREEMENT
Thank you for choosing the Ronald McDonald House of Northwest Florida to donate your most valuable asset: your time. Please know RMH staff could not do their jobs without ALL our volunteers. Thank you again for choosing our Home as your charity of choice. The purpose of this agreement is to ensure all RMH volunteers are aware of what will be asked of them.

As a Volunteer I agree:
- To read the Volunteer Handbook.
- To fulfill assigned volunteer commitment of at least 2 hours or more unless otherwise approved by Volunteer Services Coordinator. (Having dependable volunteers for each shift is crucial to the daily operation of the House.)
- To notify the Volunteer Services Coordinator at least 24 hours before I am unable to work my scheduled shift.
- To reschedule my service time if I have or have been exposed to a communicable disease.
- To notify the Volunteer Services Coordinator at least 2 weeks prior to separation from RMH.
- To be courteous and professional. (Volunteers represent RMH to our families and the public. If you have a problem or concern, be sure to discuss it with the Volunteer Services Coordinator)
- To respect the privacy of each visitor/donor/family by keeping their information (personal & business) confidential.
- To ensure the safety and well-being of children and to maintain the integrity of RMH and its volunteers, I will not take responsibility for supervising children in the absence of their parent/guardian.
- RMH families and guests are never to be transported in personal vehicles and I will not open my home to RMH guests or families as a place to stay.
- To seek the assistance of staff on duty in any situation requiring special guidance.
- To refer all media inquiries to the Development Director for comments.
- To withhold personal medication from family members, staff or other volunteers.
Date

Month Day Year
Date
Volunteer Conflict of Interest Disclosure and Confidentiality Statement
During the time I serve as a volunteer of Ronald McDonald House Charities of Northwest Florida, I realize I will gain access to information that is considered to be confidential and/or proprietary. Such information relates to families, donors, strategic planning and initiatives, submitted proposals, criteria or decisions made with regard to the business of Ronald McDonald House Charities of Northwest Florida.

Since confidential and proprietary information is crucial to the operation of the Organization, and because RMH in some instances has the obligation to protect such information, I agree I will not use, publish or disclose such information during or subsequent to my time volunteering, and I will preserve the restricted nature of this information except to the extent it becomes publicly available, or is otherwise lawfully obtained outside the scope of this agreement from third parties.

Additionally, as a volunteer, I realize I have an obligation to disclose and eliminate (if necessary) any potential or actual duality of interest or conflict of interest.

Below, I have listed all community organizations, non-profit corporations or charitable programs I, or a member of my immediate family have a relationship with, have sought or may in the future seek to do business with RMHC/NWFL. The term “relationship” means any relation with a person or organization, whether financial (such as a significant donation of more than $100), employment (such as a volunteer assignment, part-time job or as a consultant or independent contractor), or fiduciary (such as a board member or officer). The term “immediate family” means spouse, parent, children or other individual living in the same household.
I hereby certify I have read, understand and agree to the Foundation’s policies as described in this statement, with respect to confidential information and conflict of interest, and the information given in this statement is complete and accurate to the best of my knowledge.
Electronic Signature *

First Name Last Name
Should be Empty:

Volunteer Application

Applicant Information

Volunteer Availability

Volunteer Opportunities

Criminal History Background Check Authorization

Volunteer Agreement