Volunteer

Name *

First

Last

Phone Number *

Address *

Email

Volunteer Position Sought?

Why do you want to volunteer? [Or, What do you want to gain from this volunteer experience?] *

Highest Level of Education *

Check all that apply *

I am seeking a volunteer opportunity.
I am applying for community service.
I am seeking an internship.
I have experience in the mental health field.
I am comfortable working around/with individuals who suffer from a mental illness.