Volunteer Application Form for Non-Profit

Horizon Family & Community Services Non-Profit Organization

Volunteer Student Application
HFCS is a nonprofit organization that provides mental health services, education, and group therapy programs to the community.

We encourage the participation of Master Program Student Trainees who support our mission. The information provided through this form will be kept confidential and will help us determine the most satisfying and appropriate volunteer-trainee opportunity for you.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
Occupation
Do you have any professional mental health experience? If yes, please describe.
Are you available to participate in supervision 3 hours a week between the hours of 8-3pm

YesNo
Please list the days and times you are available to see clients:
What day are your starting your practicum?

MonthDayYear
Date
Date

MonthDayYear
Date
Signature
Please attach your resume:

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Horizon Family & Community Services Non-Profit Organization