Cornerstone of Hope · MID-OH

Interested Participant Information

Name

*

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Best Contact Phone Number

*

Email

*

Verify Email

*

Preferred way to contact you:

*

Cell

Home

Email

Why are you interested in volunteering with the Traumatic Loss Response Team?

*

Check any of the following that describe you and your relationship to suicide & mental health:

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Survivor of a suicide/traumatic Loss

M/H Professional

Clergy

Faith-based Support

Other

Relationship/Month and Year of Loss:

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If "Other", please explain:

*

How did you hear about Mid-Ohio Traumatic Loss Response Team?

Quarterly Newsletter

Email

Social Media

Website

Print Ad

Flyer

Contact Preferences

I would like to receive monthly eNews from Cornerstone of Hope so I never miss Cornerstone of Hope's latest news or newest programs and offerings.

Yes, please add me to the mailing list to receive a mailed copy of Hope's Messenger Newsletter each quarter.

Attending the volunteer information session does not automatically qualify you to be an active volunteer with Mid-Ohio Traumatic Loss Response Team. You must complete an interview with the MOTLT Coordinator and attend the appropriate training to participate in a volunteer role. Thank you for your interest and support of the MOTRT.

Mid-Ohio Traumatic Loss Response Team

Volunteer Interest Form

Interested Participant Information