If you want to know more about how to volunteer opportunities for HALO, please complete the application below.

Thank you for considering the people in your community who need you the most!

Volunteer Application

Items marked with (*) are required fields.

Are you 18 years of age or older? YesNo


Highest Grade Level Completed*: GrammarHigh SchoolCollege

Are you presently enrolled as a student*: YesNo

Employment History

Are you presently employed: YesNo

Volunteer Experience and Training

(If you have volunteered at another organization.)

Business References

(Please provide complete addresses for all references listed.)

Background Information

(Please answer the questions below as completely as possible.)

Have you ever been convicted of a felony:

If you volunteering for a provider position, have you ever been refused malpractice insurance:

General Questions

Crisis Line Volunteers Only:

Volunteer Interest

Please select the volunteer opportunities in which you may be interested:
Licensed Health ProfessionalCommunity ServiceAccounting InternComputer InternCounseling InternClerical InternWomen's Health

Certification of Applicant

Some volunteers may be required to have his/her own transportation and vehicle insurance. All volunteer candidates are subject to illegal drug testing, TB testing and criminal background screening. Provider volunteers are subject to credentialing.

Volunteer positions are completely unpaid and volunteers are not entitled to any type of benefits with Health And Life Organization, Inc.

By submitting this form, you certify that your answers on this application are true and complete to the best of your knowledge. You also grant your permission and consent for HALO, Inc. to contact the necessary resources and references to verify your responses on this application.