MEM Volunteer Application
Please complete the following volunteer application.
Applications are reviewed monthly at Board Meetings.
If you have any questions please contact,
All applicants will be notified once their application has been reviewed.
Email address *
Date *
Name *
Address *
Phone number *
Highest level of Education? *
Current Employment and position. *
Volunteer Positions you are applying for, check all that you are interested in: *
If you marked other, please explain in detail?
How many hours a month would you like to volunteer for MEM? *
Certifications and Qualifications
If other, please specify.
Previous Volunteer experience. Please describe your volunteer work, include organizations, and dates of services. *
What experiences have you had that may prepare you for volunteer work in the Perinatal Mood Disorder Peer Support Services? (Please include personal experiences with any perinatal mood disorders) *
Why do you want to volunteer for Mothers Empowering Mothers Inc.? *
How would you describe yourself? (outgoing, shy, social anxiety?) In some of the volunteer positions, being comfortable in conversation with others is needed. This wouldn’t disqualify you from a position, but instead would help us determine which position suits you best.
References, Please include 3 references and include their phone number, email, and relationship to yourself. *
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