Please complete this application form if you are interested in becoming a Heart to Heart International volunteer. Once you complete the form, click the submit button at the bottom.

Volunteer Service Location

Please check where you can serve. Check at least one box or both if you can service in the U.S. and International.

Name and address

If you are not a resident of the United States please email for information on how you can volunteer with Heart to Heart.

Employer Information

Emergency Contacts


Medical Background


Please indicate the days and times you are usually available to volunteer.

Volunteer Handbook

By checking the "I agree: box below you agree that you have followed the above link to review the volunteer handbook.