Thank You for your interest in volunteering at Almost Home Kids. Please keep in mind that this application is used as a preliminary screening tool. Please take your time to consider and answer the questions.

You will need to complete this application form if you are interested in becoming an Almost Home Kids Recreational volunteer. If you are not yet 17 years old or cannot commit to a minimum of 4 volunteer hours every month for the 4-5 month time period following your Orientation ~ you may want to visit Volunteermatch.com for other opportunities in the area.

After you attend a Volunteer Orientation ~ PLEASE UPLOAD A COLOR PHOTO OF YOURSELF IN THE APPROPRIATE BOX ON THE PROFILE TAB IN YOUR APPLICATION.

Once you complete the form, click the submit button at the bottom. Keep in mind applications are processed in the order they are received. It could take several weeks for your application to be at the top of the list. We appreciate your patience.

Thank you!

Personal Information

First name:

Last name:

Middle name:

Nickname:

Kind:

Individual Group

Group name:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

Work phone:

Cell phone:

Email address:

Please enter a password that:

Is between 5 and 30 characters long
Contains both letters and numbers.

Password:

Confirm password:

Date of birth:

Please provide a little background on yourself and why you feel you would be a great fit for our Volunteer Program.

Allow other volunteers to see when I am scheduled

Volunteer Role

Please specify which of the following roles you would like to apply to.

- Recreational Activities with the Children – Recreational Volunteers engage the children with play activities such as reading, puzzles, sensory toys or simply holding a baby. It is important you feel you would be comfortable volunteering with a child who has complex medical needs. - Opportunities are available 7 days a week

- Administrative Tasks – Opportunities are available on an as-needed basis (Naperville-only)

Primary Volunteer Role:

Volunteer Type

Please specify if you would like to volunteer at our Chicago or Naperville location. Please also let us know if you are applying to be an ongoing volunteer, or if you are doing a specific number of volunteer hours for school/church. Please know that we require a minimum of 4 hours each month consecutively for the 4-5 month time period following your orientation.

Type:

School (if currently attending)

Please tell us the name of your school.

Education:

High school:

College:

Occupation

Let us know if you are retired or please tell us the name of your employer and position if employed.

Members:

1

2

Employer name:

First name:

Last name:

Title:

Street 1:

Street 2:

City:

State:

Zip:

Please list current occupation & place of employment. If you are not working just let us know that.

Emergency Contact

Please list a day-time emergency contact

First name:

Last name:

Home phone:

Cell phone:

Email address:

Relationship:

Please provide a contact we could call only in the case of an emergency while you are volunteering.

Commitment

We require a commitment of a minimum of 4 volunteer hours each month for at least 4-5 months immediately following your orientation. We ask for a consistent long-term commitment in order to provide the best possible care for our patients and families. Are you able to make a commitment of this nature at this time? Please consider this question carefully.

Commitment:

We are happy you are applying to be a volunteer with us. Please tell us your end goal for length of volunteering at AHK. If you are volunteering as part of a school requirement please explain the duration of that requirement.

Relevant Experience

Please let us know how you heard of Almost Home Kids and indicate any skills, talent, or experiences which relate to your volunteer interests.

The Children We Serve

The families whose children are being cared for at Almost Home Kids are often under great stress. We seek volunteers who are comfortable extending a friendly and calm demeanor. Are you comfortable working with children who have complex medical needs? Please describe any experience you may have had with children with complex medical needs. (prior experience not required)

It is not a prerequisite but please let us know if you have had experience with children with special needs and/or medical complexities.

Other

Do you have a special need or disability requiring special assistance in order to volunteer? If so, please explain.

I Agree

I understand and agree that submitting this questionnaire does NOT automatically register me as an Almost Home Kids volunteer.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree