Volunteer Request

Thank you for your interest in volunteering to serve and help Midwest Heart Connection fulfill it's mission. Please complete the form below.

Please select an area of interest. *
Board of Director Seat Event Planning Committee Program Administration/Oversight Hearts of Hope Event Chair Hearts of Hope Committee Chair
Please select all opportunities that may interest you.
Name * First Last
Phone * - ### - ### ####
Email *
How would you like to be contacted?
By Phone By Email
Please feel free to add additional comments.
If you interested in an open Board of Directors seat please upload a short Bio and/or Resume further explaining your qualifications and interests.