I want to volunteer - Caring House

Caring House -- a loving home for the last stage

Complete this quick Volunteer Registration form and we'll follow up with you.

My Name*
Prefix First Middle Last
My Email*
Enter Email Confirm Email
Phone: The best telephone number for reaching me*
My Address*
Street Address Address Line 2 City State ZIP Code
I'm interested in volunteering in the following area(s)*
- Administration
- Caregiving Assistance
- Comfort & Support (Credentialed)
- Fix-it
- Fundraising - General
- Fundraising - Special Events
- Gardening
- Holistic Therapies
- Home Sweet Home
- Outreach
- Remember the Life
- Visitation
- Other (explain below)
--- If "Other" please explain
Have you volunteered with any other organization before?
- Yes
- No
If Yes, which organization(s)?
Please list current and past licenses/certifications (MD, RN, LVN, EMT, JD, Electrician, Contractor, etc.)
Reasons I want to volunteer at Caring House
- Career experience
- Help my community
- Work requirement
- Other (explain below)
--- If "Other" please explain
I confirm*
- I've provided the above information voluntarily and it may be used for Caring House purposes only. As a Caring House volunteer I will not be paid for my services.
Name
This field is for validation purposes and should be left unchanged.