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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 may be required to pass a background check and undergo periodic TB testing.
*
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
Applicant Information
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
*
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
How is your emergency contact related to you?
*
Interests
How would you like to be involved at Harbor House?
*
Resident Activities
Maintenance (building and grounds)
Facilities (housekeeping)
Food Service/Events
Other
Availability
What day(s) are you available?
*
You will be plugged in where your availability meets HHM need and as determined by HHM Staff. Time commitments vary from 1/2 to 2 hours.
Monday
Tuesday
Wednesday
Thursday
Friday
What time(s) are you available?
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Mornings - 9 to noon
Afternoons - 1 to 5
Frequency with which you would like to volunteer
*
Once a week
Twice a week
Every two weeks
Once a month
Periodically (on-call basis)
Notes about your availability:
General Information
What date would you be available to begin this volunteer program?
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(mm/dd/yyyy)
How did you learn about this volunteer opportunity?
*
Why would you like to volunteer at Harbor House?
*
Please list any paid or volunteer experience you've had or skills you'd like to share that might relate to your interest in volunteering at Harbor House.
*
Do you have any physical limitations or require special accommodation? Please describe.
*
Do you have any questions for us?
*
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?
*
Basic Service Agreement
As a volunteer, I understand that I may have to submit to a background check and periodic TB testing.
*
By selecting "yes" below, you are agreeing to the above statement.
Yes
No
