Puget Sound Volunteer Interest Form

American Heart Association Puget Sound Volunteer Interest Form
Thank you for your interest in volunteering for the American Heart Association! We depend on the time and talent of volunteers to help us create a healthier world, free of heart disease and stroke, and we can’t thank you enough for representing our mission out in the community. Please complete this interest form and we will contact you with next steps or if we require additional details.
First and Last Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Zip Code*
YesNo
YesNo
Event SupportSharing information on social mediaSupporting blood pressure demonstrations/education (clinical experience needed)Hands-Only CPR education (CPR certification needed)Providing nutrition and/or heart health education at community sites (clinical experience needed)Exhibiting at health fairsAdvocacySchool Engagement
Go Red for WomenHeart and Stroke WalkHard Hats with Heart
Public speakingHealth educationCommunications/social mediaAdministrativeGreeting guests/guest servicesOther (please describe below):
YesNo
Please briefly describe your clinical experience:*
Single EventOngoing OpportunitiesAs Needed
Please list any other languages you speak other than English:
Is there anything else you would like for us to know about you?
Black or African AmericanAmerican Indian or Alaska NativeAsian/Pacific IslanderHispanic or LatinoWhitePrefer not to answer
YesNo
If you answered yes to the last question, can you tell us briefly about your experience with heart disease/stroke/etc?
YesNo
Do you have a specific passion or interest that relates to cardiovascular health? (i.e., heart attack, stroke, high blood pressure/hypertension, congenital heart disease, maternal health, women’s health, health equity, etc.)
Go Red for WomenHeart & Stroke WalkHard Hats with HeartHealth FairsClinical/blood pressure check eventsAdvocacySchool EngagementCommunications & Social MediaSpeaking at EventsMaking Phone CallsOther
Please elaborate on any skill you checked in the last question.
If you have clinical or medical experience, please let us know the name of your employer and briefly describe your clinical experience.
How did you hear about the American Heart Association? Please include past volunteer involvement with AHA, if any.
Is there anything else we should know about you that would help us connect you to opportunities that are meaningful to you, for example scheduling preferences or virtual only opportunities?
Should be Empty:

American Heart Association Puget Sound Volunteer Interest Form