Community Grief Center Volunteer Application
Thank you for your interest in volunteering for the Community Grief Center! Please fill out the following sections that are applicable.

Our mission depends on a “pay it forward” model to keep going. Upon completing our application, a
volunteer coordinator will be in touch to discuss the next steps. You may be asked to:
 Participate in an in-person interview and volunteer orientation (mandatory for all
new volunteers)
 Provide personal or professional references
 Undergo a background check (required if working with minors)
Name *
First and last name
Current Address (Street #, Street Name, City, State, Zip code) *
Best Phone Number *
Email *
Have you experienced a Loss? Yes/No (if no, skip these questions below) If so, who was your loved one, and when did you lose them? *
The following questions are for our Volunteer Placement Assessment
What helped you with your grief?
What makes you want to volunteer for the Community Grief Center? *
Please select all ways you would be willing to serve: *
I have the following skills to contribute: *
Days and times that I am available to help (Monday through Sunday) *
Describe any skills that you would like to increase while you volunteer *
Which of the following other gains do you hope to have as a volunteer? *
If you’re interested in facilitating, what specific age groups would you like to work with? (Check all that apply) *
Anything else you want to share with us? (Example: Retired, areas of interest/expertise[teacher, health field, counselor, etc.], special skills/talents [art, etc.] *
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