Please complete the following application form if you are interested in becoming a House of Mercy volunteer.

Once you complete the form, click the Continue button at the bottom and follow the directions that appear on the screen once you submit your application.

Thank you!

Contact Information


Emergency Contact

In the event of an emergency whom should we notify?

Your Interest in the House of Mercy

Why would you like to volunteer with us?

Special Skills or Qualifications

If employed or retired, in what area have you experience (ie: teacher, bookkeeper)? All applicants summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Brag a little!

Previous Volunteer Experience

Summarize your previous volunteer experience. What, where, when, why?


We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.

Agreement and Signature

By submitting this application, I understand and agree that this application form does not automatically consider me a House of Mercy volunteer, just an applicant and that there are certain qualifications I must meet, including the reading and understanding of the House of Mercy Volunteer Handbook (located above) and by checking below I am accepting the House of Mercy policies and procedures mentioned in the Volunteer Handbook.

I, the Volunteer, release and forever discharge and hold harmless House of Mercy and its successors and assigns from any and all liability, claims, and demands of whatever kind of nature, either in law or in equity, which arise or may hereafter arise from the services I provide to House of Mercy.

By submitting this form, I attest that the information I have provided on the form is true and accurate.