volunteers make a difference!

Thank you for your interest in volunteering for MHA. Click the button below to fill out an application.
SIGN UP TO VOLUNTEER

Is your current address the same as your permanent address?
YesNo

Date of Birth

Sex
MaleFemaleNon-Binary


Work and Volunteer Experiences
Please list your most recent work and volunteer experiences

Start Date

Start Date

Start Date


Education

Are you presentely a student?
YesNo

Does volunteering fulfill a course requirement?
YesNo

Please Describe the Course Requirement



Criminal History

Have you ever been arrested?
YesNo

Have you ever been convicted of a crime?
YesNo

Do you give us permission to check this information?
YesNo



Personal Information

Program Interests (required)
AdministrationCrisis Center"I'm Thumbody Special"Health FairsSupport GroupsOther

Why are you interested in volunteering for MHA? (required)

What experiences, hobbies, skills do you have which might help MHA? (required)

Please list your community interest or groups with whom you are affiliated



References

Please list three local references who we may contact.

Reference #1

Reference #2

Reference #3

I authorize Mental Health America to contact my references that I have provided above, and to inquire about my volunteer candidacy. The above-named persons are aware that Mental Health America will contact them and MHA has my permission to discuss any relevant information.



Emergency Contact



Verification

By signing my full name, I hereby certify that the information on this application is accurate and complete to the best of my knowledge.