Heart 2 Heart Volunteer Application
Heart 2 Heart Services is a NJ nonprofit organization which seeks to provide a home for female victims of human trafficking ages 12-18 years. The purpose of the home is to provide a full continuum of care designed to develop the whole individual. Children who are human trafficked are not prostitutes and should not be incarcerated and re-victimized as such because they are victims. Heart 2 Heart Services is invested in the lives of children of human trafficking, to provide safe housing, stimulate healing, encourage positive self-esteem and create independence that will offer a better lifestyle.

If you have any questions regarding our volunteer process contact Denise @ denisepoole.heart2heartsvcs@gmail.com or (856) 352-5424

Heart 2 Heart Services - Providing a Safe Home, Healing Hearts One at a Time!
Name (Last Name, First Name)
Your answer
Gender
Birth Date
MM
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DD
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YYYY
Phone Number
Your answer
Email
Your answer
Address (Street, City, State, Zip Code)
Your answer
What are your reasons for wanting to participate with Heart 2 Heart as a volunteer?
Your answer
Current Employer (or most recent)
Your answer
Position and brief description of responsibilities
Your answer
Relevant degrees, certificates and licenses
Your answer
How many hours each month can you dedicate to Heart 2 Heart?
Your answer
Do you have any physical limitations that you would like for us to know about?
Your answer
In case of emergency contact (Include Full Name and Phone Number)
Your answer
Are you willing to complete a one-day training at your earliest convenience?
{Information obtained in this section will be kept separate and confidential. Your responses will not necessarily affect your ability to volunteer with Heart 2 Heart. }
Do you regularly attend a church or place of worship?
If yes, where do you attend?
Your answer
Please list two references of people who know you well, other than relatives, preferably for whom you have worked in either a paid or volunteer capacity.
*Please include: (Names, E-mails, Phone numbers and Relationship to you.)
Your answer
Have you ever been convicted of a crime other than a traffic violation?
Your answer
If yes, what charge? __________________ Date convicted: ________ Where ______________
If yes, what charge? __________________ Date convicted: ________ Where ______________
Are you a registered sex offender?
If yes, please explain:
Your answer
Have you ever received payment for the recruitment or sell of a person for the purpose of performing sexual acts?
If yes, please explain:
Your answer
Do you consent to a routine check of your criminal records?
List all addresses at which you resided in the past seven years and the dates that you lived there.Date:___________ Address:_________________
Your answer
{Heart 2 Heart reserves the right to make any checks deemed appropriate as to the suitability of anyone responsible for this confidential work. All information obtained will be held in the strictest confidence. }
Please review the list below and mark if applicable.
This isn't required but it does help us place you somewhere you will enjoy and best work in.
Prevention or Awareness
Fundraising
Communications/Public Relations
Go Teams
Going to Churches, Events, Schools spreading the word about what Heart 2 Heart is doing in the state of NJ.
The Arts
If you check off any of these PLEASE send your portfolio to Denisepoole.heart2heartsvcs@gmail.com
Manual Labor
Residential Work
With these jobs you will most likely be working with or near the survivors, so Heart 2 Heart Services will run a background check on you. (Fees may occur)
Volunteer Commitment *
As a volunteer of Heart 2 Heart, I will strive to foster a welcoming environment where dignity, respect and kindness are the values we live by and demonstrate to others. I will put the needs of others before my own and aim to provide a culture of support, encouragement and honesty. I understand that Heart 2 Heart is a faith based organization and am willing to submit to policies and code of conduct as well as support Heart 2 Heart’s statement of faith. I commit to refrain from use of pornographic images or erotic media while my volunteer status at Heart 2 Heart Services is active. I am willing to abide by Heart 2 Heart’s policies and procedures, which will be presented as part of the volunteer training. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume a responsibility for any liability for an accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. Signed:_______________ Dated:______________
Your answer
Thank you for applying! We are excited to work with you in the future!
Blessings, Heart 2 Heart Services Staff and Board.

If you have any questions or concerns please email us @ heart2heartsvcs@gmail.com

Staff Notes
(Staff Only)
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