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Health Advocates Volunteer Form
Thank you for expressing interest in volunteering for Health Advicates! Please fill out the following form, and we will be in touch with you shortly after your submission. If you have any questions in the meantime, please email info@hafop.org or call the office at 212-980-1700, ext. 205.
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Email *
Today's Date *
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First Name *
Last Name *
Phone Number *
What is your street address? *
City? *
State *
Zip Code *
Date of Birth *
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How did you learn about Health Advocates? *
If you responded "other", please indicate how you learned about Health Advocates.
Which of the following describes your employment status? (check all that apply) *
Required
If you responded "other", please note more about your employment status here.
If you are currently working or a student, please list the name of your employer or school.
What languages, if any, do you speak fluently in addition to English?
If you answered other", please indicate additional languages spoken below.
I am interested in the following volunteer roles in the community (select all that apply) *
Required
I am interested in the following office volunteer or skill based roles *
Required
If you checked "other" or pro bono support, please describe here.
How often and at what times would you typically be interested in volunteering? *
Required
Why are you interested in volunteering with Health Advocates? *

Health Advocates volunteers are part of a community who are committed to our mission of promoting safe and healthy aging.

It is expected that all volunteers will adhere to guidelines and specific instructions provided by staff, behave with courtesy and respect for one another and participants and promote a positive atmosphere at Health Advocates' classes, activities, events and in our office.

Volunteers assume all risks for taking part in Health Advocates' programs and agree to hold Health Advocates harmless for any resulting injury or illness.

We love to celebrate our programs in photos and videos. From time to time, we photograph or film events and program volunteers and participants for use in our publications and on our website. By submitting your registration, you are agreeing to grant Health Advocates unrestricted rights to use, publish, or transmit images that may be taken of you for use in communications related to the organization and its social mission.

I agree to the above guidelines, terms and conditions.

*
For volunteers under age 18 only, I am the legal guardian of the above minor volunteer and agree to permit my child to participate in the above listed volunteer roles. Please print your name below and indicate your relationship to the volunteer applicant.
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