The Haven Home · Volunteer Application

Contact Information

Name

*

First Name

Last Name

Date of Birth

*

(mm/dd/yyyy)

Organization/Employer

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email

*

Verify Email

*

Phone

*

Emergency Contact Information

*

How did you hear about The Haven Home

*

Why are you interested in volunteering at The Haven Home? What is your passion?

Please be sure to indicate your availability.

Skills and Interests

Event Planning

Children's Activities

Teen Activities

Support Groups

Education/Tutoring

Donation Sorting

Arts and Crafts

Meal Serving

Meal Donations

Availability

*

Weekday Mornings

Weekday Afternoons

Weekday Evening

Saturday

Sunday

Preferred or Unique Opportunities:

Please let us know if you/your organization prefer a specific or unique opportunity.

When are you available to tour our facility?

Do you require documentation of volunteer hours for work/school?

Comments or Questions

Photo Release

Your submission of this application and participation in volunteer activites confirms you agree to allow your photograph to be used in promoting the mission of The Haven Home.

Confidentiality

We regard the privacy of our residents as a priority. Your submission of this application confirms that you will not share any personal information you may learn about residents, including photographs, names and phone numbers with persons outside of The Haven Home.

Newsletter

Upon completion of the application, you will be automatically subscribed to our mailing list. You'll receive monthly updates to keep you informed about volunteer opportunities, events and other activities. You may unsubscribe at any time.

Applicant Signature:

Parent Signature is needed if under 18.

Date:

(mm/dd/yyyy)