American Heart Association Volunteer Questionnaire
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What region are you interested in volunteering in?
*
Ann Arbor
Detroit
Kalamazoo
Grand Rapids
Are you fluent in any language besides English?
Yes
No
Please enter the language(s) you are fluent in:
Do you have any experience in the medical field?
Are you CPR certified?
Yes
No
If yes, what type of certification do you have?
Please Select
hands only CPR
card issued CPR
infant CPR
other
If other, please type here:
Are you a survivor of cardiovascular disease or stroke? Select all that apply –
cardiovascular event
cardiovascular disease
stroke
Have you ever volunteered with us before?
*
Yes
No
Would you prefer to be contacted by phone call, email, or text?
*
Phone call
Email
Text
Would you like to be added to our local, monthly volunteer list?
Yes
No
Are you comfortable with working with technology?
Yes
No
Are you more of an introvert or extrovert?
Please Select
introvert
extrovert
somewhere in between
Can you stand for longer than 3 hours?
Yes
No
Can you lift objects heavier than 30 pounds?
Yes
No
Are you interested in volunteering in specific events?
Heart walk
Heart ball
Go Red
CycleNation
Hard Hats With Heart
Field Days
Submit
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