We appreciate your desire to share your time and talents at RMHCCI. A variety of volunteer opportunities exist at our House, and we are looking for volunteers who are qualified for particular openings. We seek applicants who are best able to meet our varying needs at the time of application. Our commitment to safeguarding the families who stay with us is foremost.

Please complete this application form if you are interested in becoming a Ronald McDonald House Charities of Central Illinois volunteer. Once you complete the form, click the submit button at the bottom.

Thank you for your interest,

Brian Replogle

Director of Charity Operations

Personal Information

Job Status

Knowing your experience may can help us match you with other, meaningful volunteer opportunities as well.

You may optionally provide the following information. It is used only to see if our volunteers are currently employed, retired or students.

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.


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

Personal References

Please list two people whom you have known for at least one year and can attest to your character, skills and dependability. You may include current or previous employers.

Person to Notify in Case of Emergency

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in loss of my volunteer status. I understand that if I am accepted as a volunteer, either RMHCCI or I will be free to terminate the volunteer relationship at any time.

I understand that to be considered for a volunteer assignment with RMHCCI, I will be required to complete a Background Inquiry Form and Volunteer Disclosure Statement. I acknowledge a background inquiry will be made through state or federal law enforcement agencies or other sources. Any information resulting in those inquiries will be held in confidence and used only for the purpose of determining my involvement as a volunteer. I authorize RMHCCI to conduct a background check as referenced, including but not limited to, a check of records of law enforcement agencies and relevant private entities.

I certify that the information contained in this application is true, correct and complete.