Volunteer Application Form for Non-Profit

Partner With Us!

Please complete this form to be contacted about partnering with Head Above Water.
Our need is great, and we’re always looking for more sponsors and volunteers to join us in creating lasting change. By partnering with Head Above Water, you’ll be supporting vital work that fosters connection, develops mental health tools, and builds a culture of well-being. Together, we can make an even bigger impact.
Your Name:

PrefixFirst NameLast Name
Email
example@example.com
Phone Number
What state do you live in?
How are you interested in partnering with us?
Please describe how you would like to volunteer/sponsor with us. We look for support in all areas including financial, social media, donations, and more.
If you are a company wanting to sponsor please list your company name and website below.
Are you a dental health professional?
Are you 18 or older?

YesNo
Do you have any volunteering experience? If yes, please describe.
Why are you interested in partnering with Head Above Water?
Select your available days

MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundays
From

Hour Minutes

AM/PM Option
To

Hour Minutes

AM/PM Option
Anything else we should know?
Should be Empty:

Partner With Us!