Clark County Public Health (CCPH)
Harm Reduction Center (HRC)
Volunteer Interest Form

Please submit your interest in volunteering at CCPH's HRC by submitting the form below. A staff member will reach out to schedule an interview within 5 business days.

Volunteer Name

Phone

Age Attestation

I am at least 21 years old

I am 18-20 years of age

I am under 18 years of age

Emergency Contact Name

Emergency Contact Phone

Short or Long Term Availability

Short Term (<6 months)

Long Term (>6 months)

Unsure

Availability

HRC Hours are Mondays & Wednesdays 12:30pm - 4:30pm.

Shifts may start as early as 12pm and run as late as 5pm.

Select all that apply.

* Fridays are only if the HRC is scheduled to be closed on a Monday/Wednesday.

Mondays

Wednesdays

Fridays *

My schedule will vary

Additional Availability

Would you like to be notified of additional volunteer opportunities (ex: outreach events)? These are typically on weekend days.

Yes

Please share a brief summary of why you are interested in volunteering with the CCPH STI HIV Harm Reduction Program.

Background Check

Volunteering with Clark County Public Health’s Harm Reduction Program is contingent upon successful completion of a background check. A fingerprinting appointment will be scheduled for you, and an email will be sent with additional details once scheduled. Please note that you may begin volunteering while your results are pending and there is no charge to you for this service.

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Clark County Public Health (CCPH) Harm Reduction Center (HRC) Volunteer Interest Form

Background Check

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Clark County Public Health (CCPH)
Harm Reduction Center (HRC)
Volunteer Interest Form