Your Information

First Name *

Last Name *

Address 1

Address 2

City

State/Province

Zip

Phone Type

Phone

Email *

Employer (if applicable)

Emergency Contact

Emergency Contact *

Relationship

Contact Phone *

What are your perferred days for volunteering?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Do you have any physical limitations?

Yes
No

If yes, please describe:

Do you have any special interests or experience that you would like us to consider when placing you into an appropriate position?

Areas you would like to volunteer (check all that apply): *

Guest Services
Administrative Assistance
Gardening and Grounds
Special Events
Kitchen Help
Facilities Maintenance
Photography
Technology/Web Support

How did you hear about Harmony Hill?