VOLUNTEER INTEREST APPLICATION
Words Heal, Incorporated (WHI) – The Sadie Peterson Delaney Literary Collaborative is a not-for-profit organization with a mission to increase the number of literary works which reflect the experiences of people of color, people of faith, the aged and the differently-abled. Our purpose is to promote the use of literature to improve mental and physiological health outcomes, as a complement to traditional therapies and treatments (bibliotherapy).
WHI will be the leader in providing recommendations and research to support the use of literature by underrepresented people to cope with life’s struggles. We will use our diverse corps of staff and volunteers to reach mental health and health practitioners, public libraries and the general public to increase the use of bibliotherapy. Our work will help those who contribute most to the health of our society understand the power of words to heal.
BECOME A VOLUNTEER
Thank you for being willing to serve as a volunteer for Words Heal, Inc. We welcome quickstarters with positive energy!
Our goal is to help enrich the lives and experiences of every individual that dedicates their time to the organization. Welcome to our team!
If you have any questions, about the form or our organization, please contact our administrative support team at
House Number and Street
Provide the best number to contact you on.
We will not share your contact information without your permission.
VOLUNTEER SERVICE PREFERENCES
We need all of the positive, well-directed and focused energy that you are willing to offer! Give us an idea of how you think you might best serve the WHI mission.
Please indicate which role you prefer to contribute to our organization.
Select all that apply.
Podcast Contributor (Professional)
Active (Project-Lead) Volunteer
Technology/Web Design Assistant
Marketing/Public Relations/Social Media Specialist
Researcher with IRB Training
Licensed Healthcare Professional (Pediatrics/Geriatrics)
Narrator (Contributing Personal Story)
When are you available, generally.
Never consistently available, just contact me when you need some help.
How did you hear about our organization?
TELL US ABOUT YOU!
What do you feel you do well? What has prepared you to do well?
Briefly tell us where you gained your most valuable work experiences. If none, type "Not Applicable".
Is there anything you'd like for us to know about your life that will contribute to your volunteer efforts?
Do you have any volunteer experience? Tell us about it. If none, type "Not Applicable".
Are you seeking to fulfill a court-appointed community service requirement?
RELEASES and AGREEMENTS
To avoid the stuff that never really happens. But...just in case.
Does WHI have express permission to use or publish any photographs or videos in which you appear?
Yes, I agree to release of my image in WHI publications.
No, I do not agree to the photo release.
Does WHI have permission to check your background history, including any information about prior convictions, terminations or debt collection activity? We will only check your history based on what is necessary for the client population and projects to which you are assigned. No information about your background will be shared with nonessential staff or other organizations.
Yes, I agree to background checks.
No, I do not agree to have any background checks.
As a volunteer of Words Heal, Inc. (WHI), I understand that I may have access to confidential information, both verbal and written, relating to clients, volunteers or staff and the organization. I understand, and agree, that all such information is to be treated confidentially and discussed only within the boundaries of my volunteer position at WHI. I also agree not to discuss or disclose these same matters after I have left my volunteer position at WHI. I further understand that breach of this agreement shall constitute grounds for and may result in termination of my volunteer status with this organization - except where such disclosure is consistent with stated policy and relevant legislation. Please enter your full name below to indicate your acceptance and agreement with these terms outlined above.
I do not agree.
I agree and hereby assign to WHI, all right, title, and interest in and to any and all inventions, original works of authorship, developments, concepts, improvements, designs, discoveries, ideas, trademarks or trade secrets, whether or not patentable or registrable under patent, copyright, trademark or similar laws, which I may solely or jointly conceive or develop or reduce to practice, during the period of time I am in service to WHI.
I do not agree.
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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