2021 Horizons Volunteer Form

BASIC QUALIFICATIONS
All volunteers must be 16 years of age and older. "If a volunteer is under the age of 18, there must be an adult chaperone present."
Must be flexible, patient, open-minded, and have a willingness to learn

VOLUNTEER POSITIONS
To learn more about the different volunteer opportunities being offered, please view the Horizons Volunteer Informational Packet linked below.

HOW DO I BECOME A VOLUNTEER
In order to volunteer at Horizons, we require all interested applicants to complete this form. Upon submission, please allow two weeks for us to review your information. During this time, we may contact you by phone call if we would like any additional information and screening.
*Applications will be accepted on a ROLLING and AS-NEEDED BASIS.*

NONDISCRIMINATION CLAUSE
Horizons is committed to providing equal opportunities without regard to race, color, religion, gender identity, national origin, political affiliation, age, sexual orientation, marital status, disability, or status as a victim of sexual harassment or domestic violence with respect to an individual's recruitment, selection, classification, training, compensation, termination of conditions and privileges of employment.

CONFIDENTIALITY AND PRIVACY
All information submitted through this application form will remain confidential and only available to those who are on a need-to-know basis.

WHO TO CONTACT
If you have any questions, comments, or concerns, please contact Janice Chamberlain at jchamberlain@horizonsct.org and Victoria Bachiochi at vbachiochi@horizonsct.org.

LINK TO VOLUNTEER INFO PACKET: https://bit.ly/2KRI9MY

Name*

First NameLast Name

Pronouns*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Birthday*

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you previously volunteered at Horizons?*

YesNo

If you answered yes to the question above, when did you last volunteer, and what was your role?

How did you hear about this opportunity?*

List any skills in which you have a professional certification.

Here are the volunteer opportunities we currently offer. Select your top choices or only those you are interested in. Refer to the Volunteer Info Packet for descriptions of each category.*

Include two (2) references. *

Full name, relation to you, phone number, email

Why do you want to volunteer at this time?*

What do you hope to gain from this experience?*

Describe any relevant experiences and skills you have that best qualifies you for this role.*

Please give your general daily availability to volunteer.*

Additional questions, comments, or concerns?

I affirm that the information I have provided on this form are accurate and true. I have read and understand the various volunteer roles and am able to perform the roles in which I have selected.*