Individual Volunteer Interest Form

Individual Volunteer Interest Form
Note: Vision House does not provide volunteer opportunities for court-ordered community service.

Fields marked * are required. Please add Vision House as a safe sender in your email so our messages don't go into your junk/spam folder.
Contact Information
NAME*

First NameLast Name
EMAIL:*
Please enter a valid email address.
PHONE NUMBER*
Please enter a valid phone number.
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Volunteer Information
I am:*

An Adult (age 18+)A Minor (under age 18)
Preferred Location*
Days and Times Available*
What Department(s) are you interested in?

Family ServicesChild CareEventsOffice/AdministrationMaintenanceOther
If you selected "Other", please explain:
How did you hear about Vision House?
Why are you interested in being a Vision House Volunteer?
Are you looking for volunteer opportunities to fulfill a service learning requirement for school?*

YesNo
If you are looking to fulfill a service learning requirement, how many hours do you need to complete and by what date?
Other information you would like to tell us?
Please verify that you are human*
Should be Empty:

Contact Information