Heart to Heart

SHANGHAI

New Prospective Volunteer Details:

Preferred name:
Family surname: Gender:
Email address:
Mobile phone:Home phone:
Street address:
Suburb/Area:
Zip Code:Country:
How did you find out about us?
Who/which:
Please note we do not accept volunteer appplications from persons who do not intend to reside in Shanghai for more than 6 months from their application submission date.
I confirm that I intend to live in Shanghai for the next 6 months:
Any Chinese language skills which may help us?
I speak Chinese
I read/write Chinese
Check this box if you are a student:Student's age:
Please note we cannot accept volunteer applications from students who are younger than 15 years of age.
Check this box if you are a teacher or teacher's aide:
Which school:
Check this box if your volunteering is connected to your school's accreditation program:
Please note that your supervisor will need to submit details of your accreditation involvemement to Heart to Heart Shanghai.
Check this box if your volunteering is part of a corporate CSR program:
Which company:
Supervisor's name:
Supervisor's email address:
Supervisor's other contact details:
I would like to visit the children at the:
Shanghai Yodak Cardio-Thoracic Hospital Puxi
Shanghai Children's Medical Centre (SCMC) Pudong
My preferred hospital visiting days are:
SunMonTueWedThuFriSat
I would like to be a Helping Hand:
Heart Bear cardigan knitter Heart Bear assembler
Heart to Heart other helper
(please specify in Additional Information below)
Additional information
Any special skills or experience with children or hospitals or other information which might be useful?

Please submit your contact details by typing in the boxes above and clicking on the "Submit" button. You will then be contacted by a Volunteer Co-ordinator who will provide you with more information on our activities.