Third Root Community Health Center
Volunteer Application
Thank you for your interest in volunteering at Third Root Community Health Center!
Volunteering is a cornerstone of social action, and something we value highly at the center. Our volunteers are crucial and much-appreciated.

Volunteering at Third Root includes, outreach support, cleaning/maintenance support, administrative support, herbal support and more. We acknowledge that everyone can bring a specific skill set to this work, and we encourage you to focus your time according to your interests and talents. If you have a particular skill or interest you would like to offer, let us know in this application!

In order to provide consistent and reliable service to our clients, we ask for a minimum 3 month commitment. Volunteers typically work a 2 hour shift at the center each week. If you would like to propose a different schedule (i.e. a finite project that would be done over 3 shifts a week in one month), send an email directly to

Please use the application below to tell us about yourself and why you would like to volunteer at Third Root.

Email address *
First Name *
Your answer
Last Name *
Your answer
Gender Pronoun
examples: she/her, they/them, he/him, ze/hir
Your answer
Email Address
Your answer
Primary Phone *
Best way to get in touch with you.
Your answer
What neighborhood do you live in? *
We have found that volunteers who live in or near Flatbush tend to have successful and fullfiling volunteer experiences. However, being a Flatbush resident is not a requirement of volunteering at Third Root.
Your answer
How did you hear about Third Root? *
Length of time you can commit to volunteer *
We just looking for a general idea of how long you will be available. We understand that situations change and may affect your availability.
When are you available to start? *
Your answer
Have you done any previous volunteer work? *
Note: previous volunteer work is not a requirement to volunteer at Third Root.
If yes, please share your experiences:
Your answer
Why would you like to volunteer at Third Root?
Your answer
What times are you be available to volunteer at Third Root?
Your answer
What languages are you fluent in?
Your answer
Do you have experience with any of the following?
Please check any skills you would be interested in sharing with us.
If you have other skills or interests not mentioned above, please tell us about them.
Your answer
What is your experience with or knowledge of social justice?
Your answer
What do you do in the world?
This can include paid jobs, other forms of unpaid labor, hobbies, passions...anything you want to share that reflects a little bit about who you are!
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service