Are you Interested in Become a Caring Companion?
Would you like to volunteer, to join us in helping others that are hurting? Our Caring Companions spend one hour (once a month) with patients that are hospitalized for their Mental Health Struggles. You are able to play a game, or work on a small activity, but most importantly give them your gift of time. Help us show others that there are people in our community that care. Please fill out the form below, and we will get back to you! For further info or questions, please email: info@liveinspired365.com. Thanks!
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
How would you like to help?:
*
Be a Caring Companion-visiting 1:1 with some in BH
Volunteer at local Behavioral Health Centers in a group setting
Volunteer as a companion for youth in BH facilities
What day(s) of the week works best for your schedule?:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Varies
What time of day works best for your schedule?:
*
Morning
Afternoon
Evening
Flexible
How many times are you hoping to volunteer?
*
Once a week
Once a month
Flexible-I just want to help where I'm needed most
How did you hear about "Reach In" Caring Companion program?
*
Why do you want to be a Caring Companion?
*
Are you available for training April 3rd 2025?
*
Along with training, there will also be volunteer requirements based on the organization(s) that you will be volunteering. More training dates coming soon.
Do you receive the flu vaccine?
Please Select
-Yes I Receive a Flu Vaccine
-No, I am NOT open to receiving a Flu Vaccine
-I don't routinely receive the flu vaccine, but willing to if necessary.
Vaccination is not required to be a Caring Companion, but IS required by some facilities during cold/flu season. You can still be a companion May-October if you AREN'T vaccinated.
Submit
Should be Empty: