Volunteer Application "*" indicates required fields We are looking for people who are passionate about what we do, are great communicators, love working as part of a team, and have positive energy and personalities. If this describes you, we would be happy for you to become a part of the Halo House team and donate your time and talents to our mission! Our Mission: Halo House Foundation supports blood cancer patients and their caregivers by providing affordable, fully furnished, temporary apartment housing to enable access to lifesaving treatment in the Texas Medical Center. Our Vision: One day, no one battling blood cancer will have to worry about where they are going to live during treatment in Houston, or going bankrupt while paying for living, eating, and parking expenses here, and their rent or mortgage back home. We believe that providing a “home away from home” and easing the family’s financial burden, their focus can be directed toward healing.Name* First Last Best Phone Number (including area code)*Email Address* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How Did You Hear About Halo House?* Why do you want to volunteer with Halo House?AvailabilityWhat is your availability (check all that apply)? Mornings Afternoons Mondays Tuesdays Wednesdays Thursdays Fridays I am interested in volunteering On my own With my group Please provide the following information for your group:Name of Group* Number of Volunteers*Age Range of Volunteers* Contact Name* Contact Phone*Contact Email* InterestWhich role(s) are you interested in volunteering for? (Check all that apply)* Front desk/Administration Gardening/beautification/grounds upkeep Conducting resident check ins Events (in-house, annual gala, etc.) Fundraising (grant research, corporate support, etc.) General repairs and maintenance Personalized services for patients (haircuts, massages, etc.) Small social event organizer (organize an event with your friends for Halo House) Other Specify other areas of interest* Where else have you volunteered and in what roles?*Special Skills or QualificationsPlease summarize special skills and qualifications you have acquired from employment, volunteer work, and activities and hobbies. Please include computer- related skills and foreign languages you speak.Felony ConvictionsHave you ever been convicted of a felony?* yes no If you answered yes to the previous question, what was the offense?*Please provide any additional details you’d like to include.Do you agree to allow Halo House to conduct a background check?* Yes No Agreement and e-SignatureBy submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.* Yes No Our PolicyIt is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. NameThis field is for validation purposes and should be left unchanged.
