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HHM Volunteer Application
Thank you for considering an offering of your time to help us live abundantly at Harbor House! We look forward to meeting you!
Are you interested in volunteering as an individual or with a group?
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Individual
Group
As an individual volunteer or leader of a volunteer group, I understand that I must pass a background check and a TB test.
*
By selecting "yes" below, you are agreeing to the above statement. You will be asked to complete a HHM Volunteer Service Consent Disclosure Release.
Yes
No
Name
*
First Name
Last Name
Birth Date
*
(mm/dd/yyyy)
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone
*
Email
*
Verify Email
*
Please tell us what interests you about volunteering at HHM?
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What is your volunteering area of interest ?
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Resident Activities
Maintenance (building and grounds)
Facilities (housekeeping)
Food Service
Other
Tell us about the interests, talents, and abilities you'd like to share with HHM.
What day(s) are you available?
*
You will be plugged in where your availability meets HHM need. and are determined by HHM Staff . Time commitments are vary from 1/2 to 2 hours.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time(s) are you available?
*
Mornings - 9 to noon
Afternoons - 1 to 5
Evenings - 5 to 7:30
Notes about your availability:
Reference 1
Name of Reference 1
*
First Name
Last Name
Address of Reference 1
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone of Reference 1
*
Email for Reference 1
*
Verify Email
*
What is your relationship to Reference 1?
*
How long have you know Reference 1?
*
Reference 2
Name of Reference 2
*
First Name
Last Name
Address of Reference 2
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone of Reference 2
*
Email for Reference 2
*
Verify Email
*
What is your relationship to Reference 2?
*
How long have you know Reference 2?
*
Reference 3
Name of Reference 3
*
First Name
Last Name
Address of Reference 3
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone of Reference 3
*
Email for Reference 3
*
Verify Email
*
What is your relationship to Reference 3?
*
How long have you know Reference 3?
*
Basic Service Agreement
As a volunteer, I agree to abide by all the rules and regulations of the Volunteer Program at HHM. I commit to, at all times, put forth a kind, caring, and compassionate attitude toward each resident.
*
By selecting "yes" below, you are agreeing to the above statement.
Yes
No
Complete a HHM Volunteer Service Consent Disclosure Release form
Please upload your completed form here OR send it to kadamczak@harborhouseministries.org OR mail it to Harbor House Ministries Attn Kerri Adamczak 919 44th St SW Jenison MI 49428.
