Volunteer With Healthier Jupiter

Thank you for your interest in volunteering with Healthier Jupiter. Volunteers are one of Healthier Jupiter’s greatest assets. Whether you can give a few days a year or a few hours each week, your contribution will help our community thrive. Time commitments vary; special events volunteers may work only one or two days a year, while other volunteers work several hours a month.

Healthier Jupiter, in partnership with Jupiter Medical Center is dedicated to bringing the greater Jupiter community together to encourage each person to live their healthiest life.

This initiative has five goals:

  1. Promote and ensure opportunities for healthy eating and active living

  2. Engage and collaborate with individuals and organizations across multiple sectors

  3. Advocate for sustainable policy changes to improve health

  4. Provide resources and education on chronic disease risks and prevention

  5. Address the social, economic and environmental factors impacting health

Please complete the following Volunteer Application truthfully and as thoroughly as possible. The information we ask for is to help us get to know you, your background, your skills and passion so that we can ensure safe and fun volunteer opportunities that match your interest. All information gathered in the volunteer application is confidential, as we value our volunteers’ privacy.

Questions regarding volunteering with Healthier Jupiter may be directed to Healthier Jupiter’s Outreach Coordinator, Joanna Peluso, 561-263-7579 or healthierjupiter@htpbc.org.

We look forward to working with you!

Volunteer Application


Name *
Name
Address
Address
Phone
Phone
How do you prefer to be contacted?
Date of Birth
Date of Birth
Are you over 18 *
Are you a student
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone
Availability
Considering your personal, school, and/or work schedules, please indicate which days and time frames you are available to volunteer by completing the chart below. Healthier Jupiter is open 9:00 am – 5:00 pm Monday – Saturday; we are closed on Sundays and major holidays. There may be opportunities for earlier, or later times throughout the year depending on special events and projects.
Days Available *
Please check all that apply.
Volunteer Time Commitment
Please check all that apply.
Do you have any comments you would like to add regarding your availability to volunteer? Examples include, I have a full time job and can only volunteer at night or on the weekends, or I want to get more involved with my kids what family opportunities do you have, etc.
Background Information
Do you have a current Florida Driver's License?
Interests
Which volunteer positions are you interested in? *
Please check all that apply.
Release of Liability *
I agree to the following release of liability: In conjunction with my voluntary involvement undertaken for and with the participation and support of Healthier Jupiter, I hereby agree, for myself, my heirs, assigns, executors, and administrators to release and discharge Healthier Jupiter, its committee members, agents, and volunteers from all claims, demands, and actions for injuries sustained to my person and/or property as a result of my involvement in such activities, whether or not resulting from negligence, and I agree to release and hold Healthier Jupiter, its officers and directors, agents and volunteers harmless from any cause of action, claim or suit arising there from. I hereby attest that my attendance and involvement in such activities is voluntary, that I am participating at my own risk, and that I have read the foregoing terms and conditions of this release. I hereby grant Healthier Jupiter the irrevocable right to use my name and likeness in any film, video tape, audio tape, photographs, slides, combinations thereof, for inclusion in any promotional or advertising purposes, without any payment to me. By submitting this form, I certify that the information provided in this application is true and correct to the best of my knowledge.
Photo Release *
I hereby grant permission to Healthier Jupiter/Jupiter Medical Center/ Palm Healthcare Foundation to use my photograph on any official foundation printed publication, website or video production without further consideration, and I acknowledge the foundation's right to crop or treat the photograph at its discretion. I also understand that once my image is posted on Healthier Jupiter/Jupiter Medical Center/Palm Health Foundation’s website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless from any claims the following: • Healthier Jupiter • Jupiter Medical Center • Palm Health Foundation, Inc.
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