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Volunteer Application
Honeybee Pediatric Therapy loves volunteers. Please take a moment to complete this application and spmeone from our office will get in touch to set up an interview.
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Name
Your answer
Address:
Your answer
Primary Phone #:
Your answer
Email Address:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Reference #1 (include name, relationship and phone number and/or email address.
Your answer
Reference #2 (include name, relationship and phone number and/or email address.
Your answer
I am interested in:
Assisting in therapy treatments (ex: prepping supplies, cleaning up, playing a game)
Cleaning and/or organizing
Office work (ex: filing, laminating, copying)
Providing/arranging an experience for clients (bringing in therapy animal, teaching a special needs dance or art class)
Job Shadowing/Observation
Providing a service for Honeybee (ex: painting, building shelves)
Other:
Have you had Department of Education fingerprinting completed?
yes
no
Other:
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