NHC Volunteer Application

NHC Volunteer Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Availability*

Weekday MorningsWeekday AfternoonsWeekend
Tell us in which areas you are interested in volunteering*
Do you need community Service Hours?*

YesNoN/A
If Yes, How many hours?
Summarize your previous volunteer experiences/ Summarize any special skills and qualifications you have acquired:*
Emergency Contact Information:*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Our Policy

It Is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Volunteers will be subject to a background/criminal check.
I Agree to New Horizon Center Policy*

AgreeDisagree
Electronic Signature:
Should be Empty: