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Volunteer Application 2020 - New
1.
Which volunteer opportunity are you interested in?
Parental Stress Line Counselor
Fundraising Volunteer
Marketing Volunteer
Office Volunteer
Parent Support Group Facilitator - Online Community Parenting Support Group
Parent Support Group Facilitator - Online Sober Home Parenting Support Group
In person sober house support group for women
In person prison support group for men
Parent Support Group Facilitator - Community Group
Volunteers looking to start their own Group.
(Please specify)
2.
Contact Information
Name:
Date of Birth:
Street Address:
City:
State:
Zip Code:
Email:
Home Phone:
Mobile:
Work Phone:
3.
What is the best way to reach you?
4.
How did you hear about us?
5.
Are you over the age of 18?
Yes
No
6.
Are you currently employed?
Yes
No
If yes, what is your occupation:
7.
How many years have you been in your occupation?
8.
Do you speak any other languages besides English?
Yes
No
If yes (please specify)
9.
What is your education?
Less Than High School
GED completed
High School Completed
Some College
College Completed
Some Graduate School
Graduate School Completed
10.
Do you have any certifications or degrees that would enable you to be a better volunteer?
Yes
No
If yes (please specify)
11.
Why do you want to become a PHP volunteer?
12.
What do you hope to gain from your volunteer experience?
13.
What do you feel that you can contribute to this program?
14.
Please list any specific skills, talents, or personal areas of interest that may be helpful to you in your work with PHP (languages, certifications, experience, etc?
15.
Have you had an experience working with parents/families?
Yes
No
If yes, please describe:
16.
What is your understanding about parental stress?
17.
How do you feel about parents whose children have been removed by the state and placed in foster care?
18.
Are there any specific days and times when you are NOT available?
19.
Check all days you are available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
20.
Check all times you are available
Morning
Afternoon
Evening
21.
How long can you commit your time?
3 months (minimum time for Parental Stress Line Counselor volunteer)
6 months (Parental Stress Line Counselor volunteer)
9 months (Parental Stress Line Counselor volunteer)
1 year or longer (minimum time for Support Group volunteer)
22.
Do you have access to a vehicle?
Yes
No
