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About
About Home in Hilliard
The Village Model
Our Service Area
Community Partners
Staff and Board of Directors
Frequently Asked Questions
Members
Membership Benefits
Membership Fees
Membership Interest Form
Gift a HiH Membership
Events
Event List
Events Calendar
Volunteers
Volunteer Interest Form
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Contact
Contact Us
Volunteer Interest Form
First name
Last name
email
Phone
Cell phone
Date of birth
Gender
Please choose...
Female
Male
Other
Prefer not to answer
Ethnicity
Please choose...
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican Am., Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, another Hispanic, Latino, or Spanish origin
Declined to State
Number
Street
City
State
Please choose...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
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New Mexico
New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Areas of Interest for Volunteers
Computer Wiz-MAC
Computer Wiz-PC
Friendly Check In Calls
Friendly Visit
Gardening
Grocery/Meal deliver
Handy Person
MedPal
Organizing
Pet Care
Transportation
Trips to Friends
Previous Volunteer Experience?
Do you have current and valid drivers licence?
Do you have current and valid car insurance?
Employment status
Please choose...
Full Time
Part Time
Self-Employed
Unemployed
Retired
How did you hear about us
Please choose...
Email Solicitation
Friend or Acquaintance
Marketing Telephone Call
Meeting or Event
Newspaper or Magazine Article
Online Search (Google, Bing, etc.)
Other
Additional Comments
I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s)
TERMS OF USE
and
PRIVACY POLICY
Thank you for your interest
Thank you for your interest and we will be in touch with you very soon!