Volunteer Form - RMH near Comer Children’s Hospital

General Information

Emergency Contact


Monday MorningMonday AfternoonMonday EveningTuesday MorningTuesday AfternoonTuesday EveningWednesday MorningWednesday AfternoonWednesday EveningThursday MorningThursday AfternoonThursday EveningFriday MorningFriday AfternoonFriday EveningSaturday MorningSaturday AfternoonSaturday EveningSunday MorningSunday AfternoonSunday Evening

Once a WeekTwice a MonthMonthlyOther

Family Ambassadors (greet families, assist at check-in, give families a tour and help them acclimate)Family Program Volunteers (provide daily activities at the House like arts & crafts, story time, yoga, etc.)Green Thumb Volunteers (nurture the garden through planting, watering, weeding, and more)House Refreshers (organize the kitchen, collect donations, stock supplies, and clean linens)Home Improvement Team (help with fix-it projects around the house)Transplant Liaisons (RMH Near Lurie Children's only)Meal Helper (RMH Near Lurie Children's only)Special Event Volunteers

Personal References

First Reference

Second Reference

Volunteer Experience (e.g. community, civic,religious organizations):

Prior Volunteer Service #1

Prior Volunteer Service #2




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