Pearl Health Foundation Volunteer Application
Volunteer application for Pearl Health Foundation. Please complete the form in English. Your information will be kept private and used to review your interest in volunteer opportunities.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State/Province
*
Country
*
Age Range
*
Under 18
18 and over
Organization / Title
T-shirt size
Youth Small
Youth Medium
Youth Large
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
Other / Please contact me
No shirt needed
Preferred size explanation (optional)
Add any sizing details if helpful.
Volunteer Interests and Experience
Volunteer interests
*
Community outreach
Health education/event support
Caregiver and neurodivergent community support
Veteran and military family outreach
Fundraising/donor support
Grant writing
Administrative/virtual support
Social media/communications
Photography/video/storytelling
Event planning
Supply drives/kit assembly
Global initiatives
Other
Skills and experience
*
Resume upload
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Professional credentials (optional)
Is there an accommodation or support you would like us to discuss to help you participate?
Availability and Participation Preferences
Available Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Times
*
Morning
Afternoon
Evening
Weekend
Flexible
Time Zone
*
Please Select
Pacific Time
Mountain Time
Central Time
Eastern Time
Other
Estimated Hours Per Month
*
Availability Type
*
Ongoing
Event-specific
Either
Participation Mode
*
In person
Remote
Hybrid
Preferred Locations
California
Michigan
Remote
Other
Travel Willingness
Willing to travel for volunteer opportunities
Travel only if expenses are covered by organizer
No travel commitment or cost obligation
References and Emergency Contact
Reference Name
First Name
Last Name
Reference Relationship
Reference Email
example@example.com
Reference Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Consent, Acknowledgments, Signature
Consent to receive volunteer-related text messages
Yes, I agree
Acknowledgments
*
I confirm that the information provided is accurate
I understand that submitting this application does not guarantee placement
I understand that volunteering does not promise employment or compensation
I understand that selected volunteers must complete role-specific orientation and any applicable confidentiality and safeguarding requirements before starting
If I am under 18, I understand that parent or guardian permission and role eligibility review are required before participation
Background Check Consent
English section
This acknowledgment does not replace any legally required standalone disclosure or authorization. Do not enter Social Security numbers, identification numbers, or other sensitive screening information in this application. For applicants under 18, any required parent or legal guardian permission will be obtained separately before screening.
Background check acknowledgment
*
I consent to a background check as part of Pearl Health Foundation’s volunteer screening process. I understand that PHF or its screening provider will supply any required disclosures and separate authorization documents before a check is conducted, and I agree to complete those documents. Submitting this application does not guarantee volunteer placement.
Applicant signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Optional Photo and Video Release
I authorize The Pearl Health Foundation, Inc. (PHF) to photograph, film, or record me while I participate in PHF volunteer events and activities, and to use my image, voice, and statements in materials related to PHF’s charitable mission. These materials may include PHF’s website, social media, newsletters, educational materials, fundraising communications, and reports. PHF may edit these materials for length, format, or clarity, but may not use them in a misleading or derogatory way. I understand that I will not receive compensation and that published online materials may be viewed or shared by others. This permission does not authorize the disclosure of my private health information or imply my endorsement of unrelated products or services. I may withdraw permission for future use by emailing info@thepearlhealthfoundation.com. PHF will stop new uses within a reasonable time, but withdrawal may not recall materials already printed, published, or shared by others. Giving permission is voluntary and is not a condition of volunteering.
Photo and video permission
Yes, I grant permission
No, I do not grant permission
Please tell the event coordinator that you do not wish to be photographed or recorded so we can discuss arrangements.
For volunteers under 18, PHF must obtain a separate signed parent or legal guardian media release before using identifiable photos, video, or recordings. The minor’s selection alone does not authorize use.
Parent or legal guardian full name
First Name
Last Name
Parent or legal guardian relationship
Parent or legal guardian consent
Yes, I grant permission
No, I do not grant permission
Parent or legal guardian signature
Parent or legal guardian date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
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