Is this your first time helping with our family activity program? (check one)*
What city would you like to volunteer in? (check one)*
Ronald McDonald House near Advocate Children's Hospital (Oak Lawn, IL)Ronald McDonald House near Loyola University Medical Center (Hines, IL)Ronald McDonald House near Lurie Children's Hospital (Chicago, IL)Ronald McDonald House near Northwestern Medicine Central DuPage Hospital (Winfield, IL)
Name of Group/Organization:
First Name: (required)
Last Name: (required)
E-Mail Address: (required)
Phone Number: (required)
City & State:
Please enter your first preference for a date to conduct the activity:
Please enter your second preference for a date to conduct the activity:
Please enter your third preference for a date to conduct the activity:
Number of Participants:
Maximum 10 individuals
Age of Participants:
participants under 18 must be accompanied by a guardian.
What made you interested in our Family Activity program?
---My family stayed at a HouseI know a family who has stayed at the HouseI know someone who works at RMHC-CNII know someone who volunteers at RMHC-CNIMy company chose RMHC-CNI as a charity/activityOther:
If you selected "My family stayed at a House" would you like to share your story?
If you selected "Other:" please explain:
I understand that by submitting this application, I am not guaranteed to lead an activity on the dates I have selected above.
I understand that any media releases and/or articles written about this meal/activity should be shared with RMHC-CNI's Marketing and Communications Department to ensure accurate information about the Charity.
Contact Brittany Wozniak at email@example.com