Volunteer Form

Contact Information

Personal Profile

 Full time Part time Not employed Retired Looking for work

 < 6 months <2 years >2 years


 Days Evening Weekends

 Weekly Occasional

 < 6 months <1 year >1 year

Possible Volunteer Opportunity

Please identify the volunteer opportunity you are interested in from the list below.

 In Home Visiting Children’s program Complementary therapy Day program Transportation

 Volunteering at fundraising/special events or on a committee (i.e. Gala, Handbags for Hospice, Golf Fore Hospice) Helping at Heart House Hospice Office (i.e. administration, reception, data entry, etc) Interested in being a board or committee member Helping out but I’m not sure which opportunity is right for me