Safe Families for Children Volunteer Application

Safe Families for Children Chapter: * (If you do not see your area listed feel free to email info@safefamilies.net to inquire about starting a chapter.)

Personal Details

Please indicate the role(s) you would be interested in: *

Host Family

Family Friend

Family Coach

Resource Friend

Ministry Lead

Other * If you are unsure about what role to apply for, please contact the local chapter for a conversation first.

Please specify

Host Family: Caring for children in your own home (overnight hosting or day time only care). [requirements]

Family Friend: Connect with either a parent (to provide friendship and support) or a child (mentorship or child care NOT in your own home), including transportation. [requirements]

Family Coach: Come alongside families to help them reach their goals, monitor children in volunteer's homes, and support Host Families and Family Friends. [requirements]

Resource Friend: Supporting families by providing useful goods or services. [requirements]

Ministry Lead: Representing the work of Saf Families in your church(es).

Other: Including financial donations, admin work, advocating, prayer or any other way of being connected to the movement not already listed.

Title

First name *

Last name *

Date of Birth *

Email Address *

Phone Number *

Preferred Method of Contact *

Gender *

Ethnicity *

Religion

Languages Spoken

Street Address and Apartment Number: *

Town/City: *

County: *

State: *

ZIP Code: *

Your Church * (if you don't have one then please enter "N/A"):

How Did You Hear About Safe Families for Children:

May we communicate with you via email and text? * By answering yes you will be added to the local newsletter and start receiving any local resource requests.

Does anyone else live in your household? *

Please add any members of your household: *all family members must be listed for Host Families*

Title

First name *

Last name *

Date of Birth *

Email Address (if applicable)

Phone Number (if applicable)

Gender *

Ethnicity *

Religion

Relationship to you *

If over 18 years of age, does this person want to volunteer? * All applicants applying to be a host family must say yes to a spouse or partner volunteering as they will be involved in the hosting

Please describe any life experiences, skills, interests, volunteer work, and professional expertise that you have: *

Please let us know how you would like to utilize or share any of the above skills/expertise within your Safe Families for Children volunteer role; either with parents children and/or the organization: *

Please share your motivation for wanting to volunteer with Safe Families for Children: *

The following questions are required so that there can be a more thorough discussion at the interview regarding if they would impact your ability to volunteer. They do not automatically disqualify you.

Have you or someone in your home ever had a substance abuse or alcohol problem? *

Please add details *

Are you currently receiving treatment for a mental or physical health condition that may impact your ability to care for children? if so, please explain further and we will follow-up with you *

Please add details *

Your References

References are required for Host families, Family friends, and Family coaches.

Any couples/roommates applying need 3 references that speak to BOTH applicants. If references only know one applicant, you must add additional references when filling out a spouse/partner/roommates application.

Each reference should have known you for at least 2 years and not be members of your family. We cannot accept more than two references who know you from one place i.e. church.

Please enter a first name, last name, a telephone number and email address. Please choose references who know all applicants in the family.

Reference 1's Details (Church Leader, Community Leader, or Mentor) *

First name

Last name

Relationship to You

Email Address

Contact Number

Reference 2's Details (Employer/Supervisor/Leader/Co-worker) *

First name

Last name

Relationship to You

Email Address

Contact Number

Reference 3's Details (Friend) *

First name

Last name

Relationship to You

Email Address

Contact Number

I confirm that these individuals can each be contacted on my suitability for this role. *

I confirm that these individuals are independent from one another. *

I confirm that not all three people work closely together. *

I confirm these references are not known to be related to me. *

Your Driving Details

Please select one of the following: *

I am willing to drive individuals or families while serving with Safe Families for Children if the need arises.

I will NOT be providing transportation while serving with Safe Families for Children.

Please check all that apply:

I do not have a valid driver’s license

I do not own or have access to a vehicle

I am not comfortable driving as a Safe Families volunteer

Required Information (for volunteers providing transportation)

Driver's License Number *

State of Issuance *

Expiration Date *

Upload a clear photo of the front of your valid driver’s license *

Upload a current copy/photo of your auto insurance card (showing coverage dates) *

Consent and Acknowledgement

I certify that I possess a valid driver’s license and maintain current auto liability insurance in compliance with state laws.

I give permission for Safe Families for Children to share my driving and insurance information with its insurance provider, if necessary, to secure secondary coverage related to my volunteer role.

I understand and agree that:

I am not permitted to transport any individual I support through Safe Families for Children.

If my circumstances change and I wish to provide transportation, I must contact SFFC staff and complete this form with my updated information and documentation.

Initial to acknowledge *

Background Information

Have you ever been charged or convicted of any criminal offense? *

Have you ever been involved with a child abuse/neglect investigation? *

Historic and/or current offenses may or may not have a bearing upon the application depending on the category, date and mitigating circumstances.

This volunteer position requires a background check and fingerprinting, as well as an interview.

I declare that the information given here is correct to the best of my knowledge and understand that the withholding of relevant information or the giving of inaccurate information may jeopardize my application.

Please check this box to indicate your agreement with the declaration above. *

In order to process your application we will need to store your data electronically. Please only submit this form if you agree to us holding this data.

I understand that this application and all other required documents needed to complete the SFFC volunteer application process are confidential and will not be disclosed without my written permission or court order. I also understand my access to my volunteer application and other required documents to complete the SFFC volunteer application process, will be governed by SFFC volunteer records policy.

If you have any questions please call your local Safe Families for Children chapter.

To apply as a volunteer for this chapter go to the following website:
Click here to find out details of how to volunteer through Bethany Christian Services.

Para Español, Oprima aqui.

Safe Families for Children Volunteer Application

Thank you for your interest in volunteering with Safe Families for Children.