volunteer application

I am a/an:

Salutation

Legal Last Name:

Legal First Name:

Preferred Name:

Date of birth:

race/ethnicity

Have you served or are you actively serving in the military?

contact info

contact information

Street:

City:

State:

Zip:

Cell phone:

E-mail:

Home Address (if college student)

home address (if college student)

Street:

City:

State:

Zip:

experience

(Please check one)

Company Name:

Position:

Phone:

Why do you want to volunteer at Dayton Children's:

Please describe any past volunteer experience:

Please describe your experience working with children:

Please list your interests/skills/hobbies:

Education

education

Highest degree achieved or degree in progress:

school:

Year of Graduation

availability

How long do you plan to volunteer?

References

references

Reference #1

reference #1

Name:

Phone:

E-mail:

Reference #2

reference #2

Name:

Phone:

E-mail:

Emergency information

emergency information

Person to notify:

Relationship:

Phone:

A background check will be completing prior to acceptance into the volunteer program. Have you ever been convicted of a felony or a misdemeanor? If yes, please indicate the offense (Ohio Revised Code) and date convicted.

Markup 2

By submitting this form, I have read and agree to the volunteer onboarding requirements as noted on teh top of the application. I certify that the information provided on this application is accurate.

CAPTCHA

Before completing this application please note the following:

All volunteers are expected to volunteer a minimum of 100 hours or for a one-year period.
All volunteers are required to have an annual flu vaccine in order to work at Dayton Children’s. It will be provided to you free of charge. You will not be considered for a volunteer position if you are unable to complete this requirement each year.
Once we receive your application it can take up to two weeks for you to hear from us and up to eight weeks before you may be able to start your volunteering if your application is accepted.
High school students must follow our application process for volunteens and should not use this form. Please visit here for details.

Please fill in this form as completely as possible. Items marked with a * are required.

contact FAQs

The volunteer resources department is open M-F from 8:00 am – 5:00 pm. They can be reached by phone at 937-641-3333 or by email.

email us

Do you have additional questions about becoming a volunteer at Dayton Children’s? Check out our frequently asked questions to see if we’ve answered it there!

learn more