Volunteer Application - Humboldt Mediation Services
We look forward to your help, and will do our best to be in touch within the week!  
Following receipt of this completed volunteer form, we'll set a time for a brief interview.  
Please answer the questions that you choose, as long as you include your name, date, some contact information and references.  It's helpful if you choose to respond to items below with longer lists so we can match you better with HMS needs as they come up.  Thank you!  
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Hello!  What is your name? *
What's today's date? *
Street Address
City
Zip Code
Preferred Phone Number
The phone number above is a:
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Email Address
I would like to volunteer for Humboldt Mediation Services because:
If you have a history with HMS or mediation generally, please briefly describe:
About how much time and how often are you thinking of contributing?
Here are a few straightforward tasks that help us tremendously.  Please check all that you would be willing to help us with, and let us know if you have experience or simply an interest in an item.
Interest
Experience
Answer phones & greet callers
Office help
Posting flyers
Tabling
Ticket sales
We interface with many community groups.  Please let us know which groups you are interested in and/or have experience with.  Please check all that you might enjoy.
Interest
Experience
Businesses
Community Organizations
Cultural Communities in Humboldt
Divorcing & Separating Couples
Elders
Families - Nuclear & Extended
Government Agencies
Government (City Councils, Boards of Supervisors)
LGBTQ
Parents
Schools
Social Workers
Youth
We can benefit from many organizational & business skills.  Please let us know of your interest & experience.
Interest
Experience
Administration
Board Service
Business Management
Caseload Increase
Community Organization
Event Coordination
Fundraising
Grant Writing
Nonprofit Organization
Personnel
Publicity & Community Awareness
Social Media
You may be interested in or be able to contribute group communication skills.  Please check all that might strengthen our work.
Interest
Experience
Case Management Assistance
Coaching
Gender Fairness
Group Facilitation
Mediation
Negotiation
Networking
Organizational Leadership
Public Speaking
Training &/or Teaching
You might have art, technical, &/or professional skills you'd be willing to contribute:
Interest
Experience
Art - Graphic Design
Art - Music
Art - Performance
Art - Photography
Art - Sculpture
Art - Video
Art - Visual
Building & Construction
Business Ownership
Computers & Technology
Cooking
Fiber Arts
Gardening
Legal
Public Speaking
Real Estate
Sewing
Woodworking
Word Processing
Writing
Or maybe there's another skill or interest you might be willing to share?
How do you prefer to help?  Please check all that interest you.
If you are familiar with or fluent in a language(s) in addition to English, please note:
I have some understanding of this language
I am fluent in this language
Spanish
French
Hmong
American Sign Language
If you are familiar with or fluent in any other languages in addition to English, please note below:
I work or attend at 1 or more of the places below.  (We might ask you to help distribute flyers.)
Do you regularly go somewhere you might post flyers?  If so, where?
Please list 2 non-family references with phone numbers and relationships (friend, employer, co-worker, etc.) to you: *
Have you been convicted of a felony?  Important note:  An affirmative answer will NOT exclude you from volunteer service with HMS, but will trigger a confidential interview by 2 members of the HMS Board:  the Chair and one other Director.  Please be aware that many organizations ask this same question of prospective volunteers.
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In an emergency, whom should we contact and with what phone number?
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