Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone Number *

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What kind of volunteer opportunity are you interested in?

We have ongoing service opportunities as well as one time project-based opportunities. Please Check All that Apply

Ongoing Volunteer Opportunity

One Time Opportunity

Reasons for Volunteering

Check All that Apply

Give back to the community

Volunteer experience for resume

Church service project

Service club (ex. Rotary Club, Scouts, etc)

School course requirement

What are you willing to do with the Family Support Center?

Please Check All that Apply

Childcare - You must commit to at least 25 hours and a Background Check is Required

Yard Care - Did you know that we have 5 physical properties? All of which are in need of spring clean-up over the next few months. This is a great opportunity for groups!

Office Help - Reception, medical filing, scanning, scheduling. etc.

Organize Fundraisers/Supply Drives

At-Home Projects - Thank you cards, craft kits, etc.

Volunteering at Events

What type of a volunteer schedule are you looking for:

To Set A Regular Schedule

To Call in when Available

To Work Events Only

To Be Called on As-Needed

Name

First Name

Last Name

Phone

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Volunteer Placement *

Due to the vulnerable population we serve, the Family Support Center reserves the right to deny any application for volunteering for any reason. Additionally, based on availability and support needed at each location, you may not be able to volunteer at the exact location you are most interested in.

I Agree

Don't Agree

Volunteer Dress Code *

We ask that you dress appropriately for working in an office and with young children. Our primary objective is to have all employees and volunteers project a professional image while taking advantage of more casual and relaxed clothing. Please no provocative or inappropriate clothing and accessories, or anything that would reflect poorly on the Family Support Center. Regardless of the item, it is essential to avoid wearing anything to work/volunteer that is worn, frayed, soiled/stained, see-through, excessively tight fitting, revealing, or inappropriate. When working directly with the children you are allowed to wear clean jeans and athletic shoes. For safety concerns, flip-flops and open toed shoes are not acceptable in the daycare and nurseries; you must wear closed toe shoes.

I Agree

Don't Agree

Drug Free Workplace Policy *

As required by Federal Law, the manufacture, distribution, possession or use of a controlled substance, other than by prescription of a health care worker licensed to prescribe the same is prohibited on the premises of all Family Support Center facilities or in any setting in which the volunteer is engaged in work-related duties under FSC auspices. As a condition I will abide by the above terms and notify his/her supervisor in writing of any conviction for a violation of any criminal drug statue occurring in the workplace no later than five (5) calendar days after the conviction. In the event of a conviction, appropriate personnel action will be taken. The personnel action imposed will be at the discretion of the Family Support Center.

I Agree

Don't Agree

Condfidentiality Policy *

I agree to safeguard the client’s rights of confidentiality. No information or photographs will be shared outside the agency without a signed release. The identity of all children in the Crisis Nursery, and all the women and children in the Life Start Village will be confidential.

I Agree

Don't Agree

This verifies that I have received and read a copy of the Family Support Center Drug Free Workplace Policy and the Confidentiality Policy and that I agree to the terms. The information I have given is true and correct to the best of my knowledge. *

Please type your name again, verifying that you have read this.

First Name

Last Name