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Testimonials

The program has helped me to survive and cope with my severe depressions and to help me cope with everyday problems that come with the depression. It gives me a better quality of life.
Denise D., Client, on the impact of Healthy IDEAS
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You Can Make a Difference

Individual Volunteers

Fill in the form below to volunteer. In order to fax or mail, please download this form and return it to:

United HomeCare
Customer Care Center
8400 N.W. 33rd Street, Suite 400
Miami, FL 33122
Email: customercare@unitedhomecare.com
Fax: (305) 468‐0845

 

Or call us at (305) 716‐0710 and a representative will help you complete this form over the telephone.

Experience the joyful rewards of helping others.

Name: *
Address: *
 
Telephone:
Email Address: *

I am interested in the following volunteer opportunities:

Companionship/Home Visit
Computer Education & Assistance
Caregiver Resource Center
Telephone Reassurance
Office Assistance
Chores or Housekeeping
Community Phone Bank
Minor Repairs
Special Projects
Avus Connect
Fundraising
Community Outreach

Please indicate your choices of days and
times when you can volunteer:

  Mon Tues Wed Thurs Fri Sat Sun
Morning
Afternoon
Evening

Please list three references:

Name/Telephone:
Name/Telephone:
Name/Telephone:

Have you ever been arrested, have had adjudication withheld, or been adjudicated guilty, plead guilty or Nolo Contendre ("No Contest"), been declared or found guilty of a criminal offense, including any criminal traffic offense, but not including a non-criminal traffic violation?
No Yes

If yes, explain by providing the name (classification) of the criminal offense (including traffic criminal offense) arrested for, date(s) of the arrest, the outcome (the "disposition") of your case, the date(s) your case was closed, the city, county, and State of the arrest and if you have it, the case number of your matter.


Please consent:

Yes, I want to volunteer to help United HomeCare ("UHC") Volunteer Program. I understand that some volunteer programs require a background check prior to involvement and agree to have same conducted. I consent to a background check and authorize UHC to obtain all personal information necessary to conduct a background check.

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By submitting this form I acknowledge the
above information is true and correct: