Center for Healing and Hope - Volunteer Application Form

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Tuesday:
5:00 - 7:00 pm.

Thursday:
5:00 - 7:00 pm.

Our Supporters:
• The Board
• Churches
• Donors
• Volunteers
• You

CHH Volunteer Application

Interested in volunteering at the Center for Healing and Hope? Please fill out this form as completely as possible.

If you have other questions you may fill out this general inquiry form.

Your Name: (for E-mail)
Your E-mail address:

*First Name:

*Last Name:

*Street Address:

*City:

*State:

*Zip Code:

*Home phone:

Second phone:

*Education Levels (choose last year completed):

High School: College: Graduate:

Degree:

Church name and/or affiliation:

*Current employer: Employer phone:

Job title:

Areas of Interest

Medical: Physician Nurse Practitioner Nurse	Administration: Greeter Translator Cashier File clerk Data entry	Spiritual: Chaplain Counselor Prayer partner Congretational representative
Other areas:
Pharmacy liaison Graphic design Business liaison School liaison	Computer assistant Transportation Maintenance Cleaning	Fund raising Public speaking Reporter Typing
Other areas:

Comments or questions:

* required