Administrative Volunteer Application
Dear Prospective Volunteer,

Thank you for your interest in volunteering with the Holistic Health Community.  We are grateful that you would like to join us in our mission to facilitate access to holistic healthcare for all.

In addition to filling out this application form and signing the Code of Conduct below, we will need the following for completion. This information is supplied in the auto-reply email once the form is submitted. Please check your Junk/Spam folder if you do not see the email.
Professional Curriculum Vitae or Resume
2 Letters of reference. https://forms.gle/YwQV659Bbc4avMgZ9

You can email scans of the above documents to info@holistichealthcommunity.org or mail hard copies to:
Ms. Donna Nisha Cohen
Coordinator of Administrative Volunteers
For the Holistic Health Community
70 Duck  Pond Road
Stone Ridge, NY  12484

Thank you for striving to make a difference in the healthcare of our community!

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First and Last Name: *
Preferred Name:
Skip this question if you do not call yourself anything other than your first and last name stated above.
Email Address: *
Please check for accuracy. This is how we will contact you.
Street Address: *
Town/City: *
State *
Zip Code: *
Phone Number: *
Date of Birth: *
MM
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YYYY
Emergency Contact Name: *
Emergency Contact Phone Number: *
What other languages do you speak besides English?
What skills would you like to contribute to the Holistic Health Community (for example: customer service, computer skills, grant writing)? *
Why do you want to volunteer for the Holistic Health Community? *
What would you like us to know about you (for example: special needs, time limitations, activity restrictions, career goals …)? *
Your Occupation: *
Employment - Please check all that apply: *
Required
Code of Conduct for Administrative Volunteers
I agree to volunteer my time with the Holistic Healthcare Community.  I have read the above copy of the Holistic Health Community Code of Conduct for Administrative Volunteers, and as a volunteer, and by typing my name below, I have read, understood and agreed to follow it. *
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