Thank you for your interest in providing volunteer support with Heart to Heart International during the COVID-19 outbreak. Please complete the following application. Upon completion of this application, additional instructions will be provided regarding required paperwork. Please submit all paperwork as soon as possible.

Please note, all selected volunteers are subject to criminal background and credential checks.

If you have any questions along the way, please email us at We are currently experiencing a high volume of inquiries, and therefore response time is longer than usual. We will answer any emails as soon as possible.

Contact & Demographic Information

Scheduling Preferences

Emergency Contact

Volunteer Agreement

Please review the Volunteer Handbook:

By selecting "I agree" you have read and agree to uphold the policies outlined in the Heart to Heart Volunteer Handbook, and permit Heart to Heart International to share your information with Johnson County Department of Health and Environment and the MidAmerica Regional Council affiliated organizations.