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

Your answer

Current Address (Street #, Street Name, City, State, Zip code) *

Your answer

Best Phone Number *

Your answer

Email *

Your answer

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

Your answer

What helped you with your grief?

Your answer

What makes you want to volunteer for the Community Grief Center? *

Your answer

Please select all ways you would be willing to serve: *

Community Outreach (set up and man info tables at events and attend community meetings)

Data entry/light clerical work (including proof read publications)

Facility maintenance workdays (room organization, yard work, painting, carpentry, etc.)

Front Desk Volunteer Regular Weekly Shift (3 hrs/week)

Front Desk Volunteer Substitute (3 hrs that week)

Grant research and writing

IT tasks

Organizing small parties and special events

Phone calls to volunteers, clients, or donors

Preparing or serving food for programs or fundraisers

Social media coordinating and/or graphic design

Support group Activity Coordinator

Support group Facilitator

Website update and tech innovation

Other:

Required

I have the following skills to contribute: *

Your answer

Days and times that I am available to help (Monday through Sunday) *

Your answer

Describe any skills that you would like to increase while you volunteer *

Your answer

Which of the following other gains do you hope to have as a volunteer? *

Meet new people

A sense of giving something back, of contributing to a good cause

Interest in/education in the work the organization does

Other:

Required

If you’re interested in facilitating, what specific age groups would you like to work with? (Check all that apply) *

Children ( ages 5 to 11)

Middle School

Teens

Young Adults

Older Adults (seniors)

Required

Anything else you want to share with us? (Example: Retired, areas of interest/expertise[teacher, health field, counselor, etc.], special skills/talents [art, etc.] *

Your answer

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