MHAH can tailor volunteer projects for individuals and groups. If you have time, skills, or talents, please consider sharing these with MHAH. Is this an application for an:   Individual    Group   If a group, please indicate name, and give a short description:   What skills, talents or abilities would you like to share with MHAH?   What is your area of interest? (check all that apply) Talking to people/Presenting for the Speaker's Bureau Listening to people/Compassionate Ear WarmLine Helping people Research (library/web) Administrative Duties Building Maintenance Mailings Data entry Photocopying Computer support Filing Project work Writing Greeting Sorting Board member A.N.S.W.E.R. Network A.N.S.W.E.R. Network Youth Advisory Board Other (please specify) What is your availability for volunteering? (please check all that apply) Time of day Morning   Day of week Monday Afternoon Tuesday Evening Wednesday Thursday Friday Saturday Sunday Total number of hours and/or days that you would like to volunteer: Do you have transportation? Yes      No Have you volunteered before? If so, please specify where: Why are you interested in volunteering for MHAH?   Will you receive academic credit for volunteering? Yes     No Name: Level of Education: Year Completed: Age: 12-17     18+ Address: City: State: Zip: Home Phone: Work Phone: Fax: Email : Additional comments or questions:

To request information or to become a volunteer with MHAH, complete this form, print and mail or fax to

Mental Health America of the Heartland
Volunteer Coordinator
739 Minnesota Ave
Kansas City, KS 66101

FAX: (913) 281-3977

For additional information, contact Ann Jones at (913) 281-2221, ext. 125 or ajones@mhah.org.

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