The Harrelson Center / The Help Hub

Thank you for your interest in volunteering! Please fill out the form below, and someone will be in contact with you soon.

Your Name

Mailing Address

Email Address

Phone Number

Gender

Male

Female

Position your're applying for:

Volunteer Coordinator: recruit & schedule volunteers

Help Hub Greeter: meet & greet clients and schedule appointments

Help Hub Adviser: work directly with clients to do needs assessment

Office and Administration: help with various office needs at the Hub

Please select the days you're available to volunteer.

Monday

Tuesday

Wednesday

Thursday

What work experience, skills, and/or education background can you use as a Help Hub volunteer?

Emergency Contact Name

Emergency Contact Number

References: please list two character references, non-relatives.

Reference 1 Name

Reference 1 Phone Number

Reference 2 Name

Reference 2 Phone Number

CONFIDENTIALITY AGREEMENT

Respecting the privacy of our clients is a value of the Help Hub. Personal and financial information should be considered confidential and not disclosed or discussed without permission or authorization of the client or a director of The Harrelson Center. Care should also be taken to ensure that conversations with clients and staff of The Help Hub are not overheard and any documents containing confidential information and handled through the propure operational procedures.

Failure to maintain this agreement may result in your termination as a volunteer at The Help Hub.

By typing my name here, I agree I have read the above statement on client confidentiality and agree to abide by the operating procedures of the Help Hub.

Today's Date

Thank you for your interest in volunteering. The Help Hub Director has recieved your application. We are in the start-up phase of this program and The Help Hub will open at the beginning of October. The director will be in contact with you in the next few weeks. Thanks again!

Help Hub Volunteer Application