Volunteer Application
Thank you for your interest in volunteering with DHHSC (Deaf and Hard of Hearing Service Center).  Complete the application below and a staff will reach out to you for further details.

Visit our Volunteer web page for more details: https://www.dhhsc.org/volunteer-with-us/

Questions and/or concerns, contact DHHSC Fresno Headquarters at 559-578-4117 VP, 559-225-3323 Voice, or resources@dhhsc.org.
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Date *
MM
/
DD
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YYYY
College/Instructor (if applicable)
Name (First & Last) *
Phone Number (Home & Cell/Text) *
Address *
City, State, & Zip Code *
Email Address *
How did you learn about volunteering at DHHSC? *
Friend
Walk-In
College/University
Current/Former Employee
Website
Other
Pick that applies to you
If selected "Other" from the previous question, how below. *
Have you ever volunteered for DHHSC before? *
If yes to the previous question, when?
Do you have any friends or relatives who work for DHHSC? *
If yes to the previous question, please list their name(s) and work location(s).
Schedule
What days are you available to volunteer at DHHSC?  Check these boxes that you are available.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Days
Schedule
What are the times that are you available to volunteer at DHHSC?  Type the day then the time. (Example: Monday 9 am to 11 am)
*
Age Group *
Adult
Teen
Child
Pick one
Identity
*
Deaf
DeafBlind
DeafPlus
Hard of Hearing
Hearing
CODA
KODA
SODA
I am....
Skills
What area of volunteering interests you the most? (Choose that fits you)
*
Clerical
Phone
Special Events
DeafBlind
Children
Other
Check that interests you
Interests (Please Fill Out Completely)
Please list any education, training, skills, languages, or other abilities that you would like to put to use in volunteering for DHHSC.
*
Review of All Policies
By checking each item box listed below, I certify that I have reviewed and understand all policies.
*
Required
Applicant's Certification & Agreement
 I certify that the facts provided in the above volunteer application are true, accurate, and complete and I authorize the Deaf and Hard of Hearing Service Center to verify the accuracy of information provided and to obtain reference information on my work performance. I release the Deaf and Hard of Hearing Service Center from any and all. I understand, if allowed to volunteer, falsified statements, misrepresentations of any kind, or omission of facts on the application for volunteering will be cause to remove me from the volunteer roster. I understand that I am acting in the capacity of a volunteer, and as such, I am not entitled to any financial compensation, DHHSC benefits or worker’s compensation. I understand that I perform all volunteer duties at my own risk.

Sign your name by typing your full name.
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