FY 24/25 Volunteer Registration/Demographics

Community Volunteer Registration

Marin County BHRS Prevention & Early Intervention
The Marin County BHRS Prevention & Early Intervention administration team organize events throughout the year to raise awareness, build community, and reduce stigma around mental health and recovery initiatives. Our goal is to foster a safe and healthy environment while empowering volunteers to take an active role in reducing stigma and supporting local communities.

We invite volunteers to participate in our community events by assisting with tabling and distributing materials. Please note that volunteer roles are not guaranteed upon sign-up, and we are unable to provide transportation or transportation funds.

The information you provide in this form will be kept confidential and will help us contact you about upcoming volunteer opportunities.

If you have any questions, please contact: Kara.Connors@marincounty.gov
Name*

First NameLast Name
What city do you live in?*

Street Address

Street Address Line 2

State / Province

Postal / Zip Code
The best way to contact me for volunteer opportunities is by:*

emailphone
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Are you a student?*

Yes, I'm in High SchoolYes, I'm in CollegeNo
What Language(s) do you speak? (select all that apply)*

EnglishVietnameseSpanishOther
Preferred volunteer shifts (select all that apply)*

MorningAfternoonEvening
Preferred volunteer shifts (select all that apply)*

WeekdaysWeekends
Volunteer Interest(s) (select all that apply)

Tabling at community eventsDistributing flyers/materialsEvent setup/clean-upAdminstrative TasksTech/AV support at eventsGraphic DesignFood Pickup/DeliveryArtistOther

Emergency Contact Information*

Rows
Name
Relationship
Phone
Email

Reason for wanting to volunteer with the BHRS Wellness Team and Suicide Prevention Collaborative*
Consent and Agreement
I understand that this is an unpaid volunteer position and that I am not an employee of Marin County, nor do I represent Marin County BHRS in any capacity. I participate as an active community member with an interest in mental health and recovery outreach. I also acknowledge that Marin County does not provide transportation or transportation vouchers.

By checking this box, I confirm my consent to volunteer and agree to follow all guidelines and policies provided by BHRS staff.

Community Volunteer Registration

Volunteer Demographic Form (Optional)