Volunteer Registration

Complete and submit a Hearts & Hands Volunteer Application online or download an application and send it by mail, email or fax to the Volunteer Coordinator.

  Online Registration Form  

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Contact Information
Volunteer Information

Declaration of convictions or pending criminal actions:
Please list below any convictions for violations of law (other than traffic violations) in this state or elsewhere, and all charges currently pending anywhere.
IF YOU DO NOT HAVE ANY CONVICTIONS, PLEASE CHECK NONE.

Services

Please select all services for which you would consider volunteering:
Personal Services:
Transportation:
(eligible for mileage reimbursement and supplemental automobile insurance coverage)
In-Home Services:
Administrative/Community:
Please enter a specific date or day of the week and time you are typically available (eg Tuesday mornings or January 10th). Trainings are typically 1-1/2 hours.


Please fill in all required fields.