Contact Information Applicant Name * Street Address * City * State * Country * This field will default to US - please change it if your Chapter is not in the US. Zip Home Phone Cell Phone * Work Phone Email * How did you hear about the Threshold Choir? * Have you ever been in a Threshold Choir chapter? If so, where and in what capacity? * Please describe where and when you have volunteered and the type of work you did * Please list any training or classes you have had in death, dying and/or bereavement, including any Hospice Volunteer Training(s) * Have you experienced a death or a loss of a relative or close friend, or major lifestyle change during the past year? * Yes No If yes, please elaborate * Why are you interested in starting a chapter of Threshold Choir? * Is there any additional information about yourself that you feel would be helpful for us to know regarding your interest in Threshold Choir? * Leave this field blank
