Volunteer Initial Interest Form

Thank you for your interest in volunteering with Henderson Mental Health Center!

To begin the application process, please:
·         Complete this Form on-line
·         Print a copy before you hit "Submit"
·         Click the "Submit" button
·         Sign your printed copy and bring to interview.

* required

Name

First

Last
*

Address

Street

City

State ZIP

Contact Info

Home
*

Office

Email
*

Please Indicate Your Areas of Interest:

Speaker's Bureau Community Fairs

Special Events & Fund Raising Activities:
Back-to-School Backpacks
Thanksgiving Baskets for Needy Families

Children's Holiday Parties & Special Events

Luncheons

Direct Services
          Instruction/ Specialty Education: Adult Youth
          Homeless & Residential Services
          Social Outings Chaperone
          Tutoring or Mentoring Youth

Administrative Functions

Typing & Transcription
Reception & Telephones
Human Resources
Quality Improvement

General Office & Filing
Finance Department
Facilities & Grounds
Surveying/ Special Projects

Do you have any special skills or experience that might be helpful in Volunteering, such as:

Any other unique abilities or interests (i.e., sign languages, etc.):

Availability:
Weekdays Weekends Days Evenings

updated 7/7/2010

Non-Discrimination Policy: In accordance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, as well as other applicable local and state regulations, ALL HMHC programs and services are available to all persons without regard to race, color, national origin, disability, or age.

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TTY 954-584-4981

Developed by P. Jacobs, Inc.