Volunteer Signup

We appreciate your interest in volunteering at the Roberti Community House. Please complete the following form and we will contact you.

First Name

Last Name

Street Address

City

State

Zip

Phone Number

Date of Birth

Emergency Contact Name

Emergency Contact Phone

How did you hear about Volunteer Activities at RCH?

Please describe your previous volunteer experience:

How many days per week are you available to volunteer?

Authorization I authorize Roberti Community House to use, reproduce, and/or publish photographs and/or video that may pertain to me, including my image, likeness and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, or for other related endeavors. This material may also appear on the Internet Web Site for the Roberti Community House. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization. Consequently, the Roberti Community House may publish materials, use my name, photograph, and/or make reference to me in any manner that they deem appropriate in order to promote/publicize service opportunities.