Join Us / Volunteer Form

To Volunteer For CHEC, use the following form, and we will contact you shortly.
* Indicates required information
* Name
* Age
* Address
* Phone Number
* Occupation
* Current Work Hours
* Can you volunteer 4 hours per week? If so, when:	Daytime Weekends Evenings Other
* Level of Education	High School College Post Graduate
* List experiences which you believe could be helpful to you in end of life volunteering
* Describe any previous volunteer work
* To what organizations or clubs do you belong
* Why do you wish to be involved in volunteering
Do you speak any foreign language. If yes, please list
* Do you have available transportation for your volunteer work	Yes No
* What do you feel are your strengths?