Volunteer Application
Complete this form to volunteer at Dial Help, or with Houghton/Keweenaw Communities That Care (HKCTC), which is coordinated by Dial Help.
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Check the areas of service that interest you (please note: there are no longer opportunities to volunteer on the crisis line).
Name (First, middle, last) *
Please list any other last names you have used in the last five years *
Address *
Email Address *
Current employment status *
Current place of employment & job title *
Do you have any certifications, training, or other experience you'd like to share?
Clubs/organizations, interests, and hobbies *
Previous volunteer experience (where and activities performed) *
Skills you'd like to use as a volunteer *
Have you ever been convicted of a crime? *
If yes, nature of offense, when and where?
Answering yes will not automatically disqualify individuals, but will be considered with respect to time, circumstances, seriousness, and relationship to volunteer responsibilities.
List three references who are not related to you (name, relationship, phone) *
Driver's license number & state of issue *
Why are you interested in volunteering? *
You may be interacting with people of different ethnic and socio-economic backgrounds, who may have values or beliefs quite different from your own. Please describe why this will or will not present a difficulty or adjustment for you. *
Is there anything else we should know/other comments?
Will you be able to attend monthly meetings or check ins by Zoom or phone call? *
Will you be able to turn in your volunteer timesheet bi-weekly by email? *
Please check your availability below:
Victim services or SART volunteers ONLY: Can you commit to being on/call on a given day per week?
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If no, please indicate the length of time/commitment you are able to make
Do you want to be acknowledged in the volunteer section of our website and other promotional materials? *
How did you hear about Dial Help? *
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