MHA of Central Carolinas


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Review current opportunities on our Volunteer Opportunities page, select opportunities matching your interest(s) and availability, and complete and submit the Volunteer application below. Spreading Hope, Spurring Action!

General Information
Name:
Date of Birth:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Mobile:
Email Address:
Employer:
Occupation:
Education:
Do you have access to transportation?	Yes No
Previous volunteer experience:
Special skills you’d like to share as a volunteer:
Do you have any current medical or psychological conditions or physical limitations which would affect your volunteer work? If so, please describe	Yes No
How did you learn about MHA?
Availability to volunteer (Day/time/frequency)

Areas of Interest: (Check all that apply)
Compeer/One-on-One Match Ambassador/Speaker’s Bureau Board/Committee Member Young Affiliates	Special Events/Seasonal Administrative Support Youth Support Parent/Caregiver Support

Volunteer Confidentiality Agreement
Please initial each statement below:
	It is my understanding that all information I provide to MHA is true and complete to the best of my knowledge, and will be kept in confidence by the Mental Health Association of Central Carolinas, Inc. I understand that giving false information may be cause for immediate dismissal.
	I will maintain complete confidentiality concerning all MHA consumer or donor information I may come into contact with as a volunteer.


	Compeer Volunteer Application compeerVolunteerApplication.pdf