We respectfully request that you answer all questions completely and honestly. Please fill out the form only if you are able to appear in person to volunteer. Call 281-536-9591 for more info.

    Name (required)

    Address (required)

    City/State/Zip (required)

    Email (required)

    Cell Phone (required)

    Other

    MaleFemale

    Date of Birth (required)

    Occupation (required)

    Describe why you are inspired to volunteer for NMP: (required)

    In what capacity would you like to volunteer? (required)

    Please select any healing modalities you are certified/licensed to share: (required)

    AcupunctureChiropracticMassage TherapyReikiHealing TouchQigongOther Energy Therapist/CounselorYoga (Therapy)Other

    Do you have any history of physical illness or limitations that might be aggravated by your volunteering responsibilities? (required)
    YesNo

    If so, please describe:

    How did you hear about New Millennium Project?

    Are you interested in becoming a board member? (required>
    YesNo

    BY SIGNING MY NAME BELOW, I, CONFIRM THAT ALL OF THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT I UNDERSTAND THE GUIDELINES AND REQUIREMENTS. IF AT ANY TIME MY CIRCUMSTANCES CHANGE, I WILL INFORM NEW MILLENNIUM PROJECT.