Volunteer Application Form for Paperflower Foundation
Please fill out this form to apply for volunteer roles.
Full Name
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First Name
Last Name
Preferred Name
Pronouns
*
Date of Birth
*
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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Street, City, State, Zip
Preferred Volunteer Roles (select all that apply)
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Patient Care Navigator
Event Planning
Day of Event Staff
Outreach Team
Data entry/administrative
Other
Current occupation/field
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How many hours per week are you available to volunteer?
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What days/times are you generally available?
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When are you available to begin?
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Are you bilingual - if so, what languages do you speak?
Do you have any experience in the following areas (check all that apply)
Healthcare/medicine outreach
Patient Advocacy
Social work
Mental health
Community outreach
Event planning or volunteering
Insurance navigation
Administrative Support
None of the above
I'm willing to learn to help!
Please describe any relevant experience or skills
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Why do you want to volunteer with us?
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What factors do you believe contribute to differences in mental health outcomes among individuals? (please do not use AI, and use your own words)
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In your own words, what do you think are the biggest barriers to mental health care for marginalized communities? (please do not use AI, use your own words)
*
Reference name
*
Relationship to you
*
Reference Email
*
Submit Application
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