New Horizons of the Treasure Coast and Okeechobee
Volunteer Application
Volunteers are required to complete or provide the following:
New volunteer orientation sessions in-person or online. A copy of driver's license and auto insurance card. Commit to a minimum of 4 hours or more per week. Pass a Level 2 background check. Scheduled and paid for by New Horizons. (Reissued every 5 years)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Do you live in a Gated or 55+ Community?
Please Select
Yes
No
Name of Community
Ethnicity
Employment Status:
Please Select
Retired
Full-time
Part-time
Unemployed, not looking for work
Unemployed, looking for work
Student, High School
Student, College
My preferred method of communication:
*
Please Select
Phone call to home phone
Phone call to cell phone
Text to cell phone
Email
I would like to volunteer in the following county (select all that apply):
*
Please Select
Martin County
Indian River County
St. Lucie County
Okeechobee County
I am interested in the the following volunteer opportunities:
Please Select
Sewing, knitting, crocheting, etc.
Events
Answering phones
Appointment confirmation calls
Certified Peer Specialist
Office work
Data Entry
Information Technology
Other
Describe any relevant skills or professional experience:
I enjoy (select all that apply):
Reading
Sewing, knitting, quilting etc.
Playing cards
Photography
Gardening
Walking
Sports
Sing or play a musical instrument
Computer
Other
Please provide more details:
I am available to volunteer (select all that apply:
12 months a year
Summer months
Winter months
Various Months
Other
Time of Year:
I am available to volunteer on the following days (select all that apply):
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Holidays
Other
Days:
I am available to to volunteer during the following hours (select all that apply):
*
8 am - 12 pm
12 pm - 4 pm
4 pm - 8 pm
Other
Hours:
Veteran Status
*
Yes
No
Branch of Service:
Please Select
Army
Air Force
National Guard
Navy
Marines
Coast Guard
I have volunteered with other organizations:
*
Yes
No
Volunteer experience:
I speak a second language (select all that apply):
Spanish
French
German
Italian
Creole
None
Other
Other language(s):
Please provide two personal references:
Reference 1:
*
First Name
Last Name
Reference 1 Phone Number:
Please enter a valid phone number.
How many years have you known reference 1:
Relationship to reference 1:
Reference 2:
*
First Name
Last Name
Reference 2 Phone Number:
Please enter a valid phone number.
How many years have you known reference 2:
Relationship to reference 2:
Back
Next
I agree to a background check:
*
Yes
No
I would like more information before answering.
I am available to begin volunteering for New Horizons upon the completion of the orientation process with a minimum 4 hours per week commitment:
*
Yes
No
Signature:
*
Is there any further information you would like to provide?
Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: