Volunteer Interest Form - Move, Heal, Live
Thanks for your interest! HEART has been working with a PT Clinic in Ward 7 (Therapeutic Sessions) to create a custom program focused on improving the health and wellness of the patients. This program will be focused on three aspects: nutrition, physical activity, or general wellness, as we surveyed clinic patients to identify their priorities.

We are recruiting volunteers that might be willing to lead a class, assist with small group discussions, or provide logistical support. The program will have both an in-person and virtual component, and the detailed curriculum has been established. We are considering 6 unique sessions that might last 1 to 2 hours. It is planned for the classes to occur on Saturdays in October and November, and we do have the option to be outdoors. Please email us at HEART@aptadc.org if you have questions or would like to join the planning sessions!
Name *
Email Address *
Phone Number
Are you interested in leading a session? This would include teaching and guiding participants.
Clear selection
Are you interested in assisting at a session? This would include managing small groups of participants and assisting with distribution of handouts
Clear selection
Preferred Module(s) of Interest
Please select the date(s) you are available to teach or assist. Classes are slated to be from 10:30AM to noon, and we ask for volunteers to arrive 30 minutes early for set up. It is a total of a 2 hour commitment. The Volunteer Orientation will begin at 10:30AM, and it is required for all participants.
Credentials *
T-Shirt Size
Clear selection
Please include any suggestions you might have for the success of this program. Thank you for your interest!
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