Volunteer & Ambassador Sign-Up

Volunteer Opportunity Areas

First Name *

Last Name *

Email Address *

Phone Number *

Linkedin Profile URL

State / Territory *

Preferred Pronouns

Preferred Communication Method

Email
Phone Call
Text / SMS
No preference

Are you a Veteran ?

Yes

No

Branch *

Service Status *

Years Post-Separation

Hospital, health system, or organization

Current Employer / Organization

e.g. BSN, MSN, MBA, DNP, MD…

Highest Degree or Certification

VA Disability Rating (if applicable)

Select all roles you're interested in *

Code PURPLE Peer Supporter — Facilitate peer cohort sessions

CSV Ambassador — Represent CSV in your professional network

Mentor — One-on-one guidance for a transitioning professional

Subject Matter Expert — Licensure, finance, leadership, or specialty

Speaker / Presenter — CSV events, webinars, or partner conferences

Military Healthcare Honors Program — Recognize outstanding professionals

Corporate / Organizational Liaison — Connect your employer to CSV's mission

Research Contributor — Support HOW Factor / POISE initiatives

Preferred engagement format

Tell us about your motivation, your transition experience, and what you believe you can offer to those who are earlier in the journey…

Why do you want to volunteer with CSV?

e.g. peer support training, coaching cert, language skills, DEI expertise

Relevant skills, certifications, or specialties

VA Healthcare Enrollment Status

Accessibility Needs

By submitting this form, you consent to being contacted by Caring Souls for Veterans (CSV) regarding membership resources, programs, and relevant opportunities. Your information will never be sold or shared with third parties outside of CSV program partners without your explicit consent. View our full Privacy Policy and Terms of Service. CSV is a 501(c)(3) nonprofit organization. This form is not monitored 24/7 — for crisis support, call or text 988, press 1.

Confirmation

I understand this information will be reviewed confidentially by CSV leadership only

Are you employed by, contracted with, or affiliated with any organization that competes with or has a financial relationship with CSV?

Yes

No

Organization name, your role, and nature of relationship with CSV…

If Yes, Please describe the affiliation

Do any immediate family members hold a position with an organization that has a relationship with CSV?

No

Yes - please describe below

Family member's relationship to you, org name, and nature of connection to CSV…

If Yes, Please describe the family member's affiliation

Briefly describe the nature and date of the conviction. CSV reviews all disclosures on a case-by-case basis.

If Yes - please provide context

Have you ever been disciplined or asked to resign from a volunteer or professional role for ethics or conduct reasons?

No

Yes — please describe below

Briefly describe the circumstances. Honesty is always the right approach.

Please provide context

Resume/ CV

I confirm for volunteer

I confirm I am 18 years or older and agree to CSV's Privacy Policy, Terms of Service, and volunteer code of conduct. *

Confirm

I understand that peer support roles require a brief onboarding process before activation

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Volunteer & Ambassador Sign-Up

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