Volunteer Form

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Volunteer Intake Form

* Indicates required field

Name *

First

Last

Phone Number *

Choose One *

High School Student College Student Professional Volunteer Other

Email *

What program(s)/area(s) are you interested in volunteering in? *

Dental Optical Hearing Diabetic Education Pamper & Prayer Foot Clinic Counseling Administrative Marketing Any

Other: *

What days/times are you available within our office hours? (M-Th from 9am-4pm) *

When would you be able to start? (If student, which semester?) *

Do you have any relevant training or experience? *

Do you speak Spanish? *

Yes No

Submit

Holland Free Health Clinic | 99 W. 26th Street, Holland, MI 49423 | Phone: (616) 392-3610 | Fax: (616) 392-3632
Hours of service by appointment: Monday - Thursday, 9:00 a.m. - 5:00 p.m
Friday by appointment only

Español
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About us