HeartSmiles Volunteer Interest Form
HeartSmiles believes that at the heart of our success lies our dedicated and committed volunteers aka Heartbeat Mentors.

Our Heartbeat Mentors understand the importance of being a consistent and commitment role model for our heartbeats. Whether you are committing to 1 event, 1 heartbeat or a lifetime of service it is important that you possess the following qualities to be considered as a volunteer for HeartSmiles.

- Must LOVE and respect young people
- Positive attitude at ALL TIMES
- Willing and able to pass a background check

Our Heartbeat mentors are an important part of the journey to success for our heartbeats. We understand that being a positive example in all that you do is the single most impactful thing any adult can do for a young person.

It is absolutely critical that you complete this form with the spirit of a positive commitment to young people, regardless of your role.

Contact us with any questions. Thank you for considering becoming a Heartbeat Mentor.

For questions email: HeartSmilesMD@gmail.com
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Email *
Your email address (one you check often) *
Cell Phone Number *
Your First Name *
Your Last Name *
Age *
Street Address *
City *
State *
Zip Code *
Your Instagram name *
Your Facebook name *
Your Twitter name *
Current Profession *
Education *
Are you willing and confident that you can pass a background check? *
How would you like to volunteer? (check all that apply) *
If volunteering for 1 event only, please tell us which event you would like to volunteer for. *
When are you most likely available to volunteer? (check all that apply) *
Briefly explain why you want to volunteer with HeartSmiles. *
Please tell us about any special talents, services or resources you would bring in a volunteer capacity? I.E marketing and promotion, media creation, grant writing, etc *
How did you learn about HeartSmiles? *
A copy of your responses will be emailed to the address you provided.
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