New Volunteer Application Form


Contact Information


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Availability

Please indicate the days and times you are available to volunteer.


Emergency Contact


Communication Preferences

We like to keep our volunteers informed of important news, schedule changes, and volunteer opportunities via email; however, you may also choose to opt in to receive text messages as well. Please indicate your communication preferences below.


How did you hear about us?


Why do you want to volunteer at the RMH?


Volunteer Experience

Do you have previous volunteer experience? If so, where at? For how long? May we contact your previous supervisor? Please list contact information if so.


Agreement

I hereby certify that the information contained in this application is correct to the best of my knowledge. I understand that before beginning my volunteer service, I will submit to a reference and background check as well as abide by and attend any additional orientation processes.

I understand that this application does not guarantee a volunteer placement with Ronald McDonald House Charities of Northeast Indiana (RMHC NEIN). I understand that should I be offered a volunteer position, any misrepresentation by me may lead to termination. I also understand that I will not receive payment for my service and that my volunteer service may be terminated with or without notice by RMHC NEIN. If I am unable to fulfill my scheduled commitment, I will notify RMHC NEIN with as much notice as possible.

I hereby expressly agree to maintain the confidentiality of any information (written, verbal, electronic or other form) I am privy to as a result of volunteering my time to work as a volunteer with RMHC NEIN. I understand that any breach of confidentiality shall result in immediate termination of duties and subjects me to possible legal action on the part of the RMHC NEIN from said breach.

I expressly agree that this Volunteer Release from Liability and Waiver is intended to be as broad and inclusive as permitted by the laws of the State of Indiana in the United States of America, and that this Volunteer Release from Liability and Waiver shall be governed by and interpreted in accordance with the laws of the State of Indiana. I agree that in the event that any clause or provision of this Volunteer Release from Liability and Waiver shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

I grant unto RMHC NEIN all right, title and interest in any and all photographic images and video or audio recordings that are made by the RMHC NEIN during my work with the RMHC NEIN, including, but not limited to, any royalties, proceeds, or other benefits that are derived from such photographs or recordings. I authorize the release of my name and contact information to official RMHC NEIN staff and volunteers. I understand that my contact information will only be used to contact me for purposes related to my request and/or event communication.