Volunteer - Hemophilia of Indiana

Are you interested in volunteering with Hemophilia of Indiana? We are always welcoming new volunteers to the foundation. We have a variety of events and programs throughout the year which always need a little extra help. Please fill out the questionnaire below, and we will be in touch shortly.

Volunteer Questionnaire

Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone*
Secondary Phone
Email*
Availability
When are you available to volunteer? (Hold Ctl when selecting multiple)*
Interests
Tell us in which areas you are interested in volunteering? (Hold Ctl when selecting multiple)*
What events or activities are you interested in volunteering for? (Hold Ctl when selecting multiple)*
Special Skills and Qualifications
Please list special skills or qualifications you have acquired *
Background Check Information
Have you ever been convicted of a felony?*
- Yes
- No
Have you ever been convicted of ANY crime involving or against a minor?*
- Yes
- No
Have you ever plead guilty to, been convicted of, or involved with any other type of crime?*
- Yes
- No
Have you ever been refused participation in any other youth programs?*
- Yes
- No
Previous Volunteer Experience
Emergency Contact
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone
Secondary Phone

Volunteer Questionnaire

Contact Information

Availability

Interests

Special Skills and Qualifications

Background Check Information

Previous Volunteer Experience

Emergency Contact

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