Henderson Behavioral Health

Volunteer Form
Thank you for your interest in volunteering with Henderson Behavioral Health!

To begin the application process, please:
· Complete this Form on-line
· Print a copy before you hit "Submit"
· Click the "Submit" button
· Sign your printed copy and bring to interview.

Name *

First

Last

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Home Phone Number *

###

####

Office Phone Number

###

####

Please Indicate Your Areas of Interest:

Speaker's Bureau

Community Fairs

Special Events & Fund Raising Activities

Back-to-School Backpacks

Thanksgiving Baskets for Needy Families

Children's Holiday Parties & Special Events

Luncheons

Direct Services

Instruction/ Specialty Education: Adult

Instruction/ Specialty Education: Youth

Homeless & Residential Services

Social Outings Chaperone

Tutoring or Mentoring Youth

Administrative Functions : Typing & Transcription

Administrative : Reception & Telephones

Administrative Functions : Human Resources

Administrative Functions : Quality Improvement

Administrative Functions : General Office & Filing

Administrative Functions : Facilities & Grounds

Administrative Functions : Surveying/ Special Projects

Do you have any special skills or experience that might be helpful in Volunteering, such as:

Any other unique abilities or interests (i.e., sign languages, etc.):

Availability:

Weekdays

Weekends

Days

Evenings

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Non-Discrimination Policy: In accordance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, as well as other applicable local and state regulations, ALL HBH programs and services are available to all persons without regard to race, color, national origin, disability, or age.

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TTY 954-584-4981

24/7 Crisis Line: 954-463-0911

Developed by P. Jacobs, Inc.