Volunteer Application

Name*

Date of Birth*

Email*

Phone Number*

Address*

City*

State*

Zip*

How did you hear about volunteering at Rick’s Place?*

Employment/Volunteer History:*

Please tell us what you are interested in doing as a volunteer at Rick’s Place (check all that apply):*
Grief Group FacilitatorGroup Night Meal Delivery/Clean-UpOffice Support (mailing, filing, etc.)Special Event Planning/SupportSewing/Quilting

I am available to help out in other ways (i.e. event planning, outreach):

Have you had a family member/close friend die (or another kind of major loss
or change within your life)? Please share when, what, and who:*

Have you ever had first-hand experience with support groups?*