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Please select state.
District Of Columbia
Date of Birth:
Previous Work Experience:
Previous Volunteer Service Experiences:
Highest Level of Education:
Name of Professional Reference:
Which program are you interested in volunteering with?
Non-medical/educational professionals Skills or Special Interests (e.g. art, photography, music, writing, computer, event planning, etc.) can you contribute as a volunteer?
I am interested in helping in the office: Check all that apply.
I can help with event set up
I can provide administrative help from organizing files to stuffing envelopes
I'm great with numbers and data analysis
I'm detail oriented and I love research projects
I can help share digital content and assist with social media
I'm a photographer/videographer
I'm available to volunteer 8 – 10 hours a week
I'm available to volunteer 0 – 15 hours a week
I'm available to volunteer 15 – 20 hours a week
Have you ever participated in a medical mission?
What Organization did you volunteer with and where did the organization go?
Length of the mission?
Have you ever applied to volunteer with H.E.R.O?
Have you ever participated in a mission with H.E.R.O?
Which program did you volunteer with?
How many missions have you volunteered with?
What was the date of your last mission?
Are you available for the mission in March, August or both?
Do you have any medical conditions?
Do you have any seasonal or medication allergies?
Do you have any dietary restrictions?:
For Educators Only*
What professional certification do you have?
What is the primary grade level you teach?
How long have you been an educator?
How did you hear about H.E.R.O? Check all that apply
Colleague or professional contact
Annual H.E.R.O Events