What is your name?(Required.)

At what e-mail address would you like to be contacted?(Required.)

What is your primary phone number?(Required.)

What is your baby's name?

We're in need of families with infants who will be between 2-4 months old when our programs begin in November (babies born in late July, August, or September). What is your baby's date of birth or anticipated due date?(Required.)

A Roots of Empathy parent(s) and baby should plan to visit their assigned classroom 9 times over the school year, approximately once per month. What neighborhood or school would create the easiest volunteer opportunity for you?(Required.)

Have you previously volunteered as a Roots of Empathy family or do you know someone who has?

Yes

No

Thank you so much for your interest in volunteering as a Roots of Empathy family! We will be in touch with you soon to coordinate a potential placement for the upcoming school year.

Do you have any additional questions that we can answer at this time?