Safe Families for Children Volunteer Application

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

Please complete the following information and we will be in touch soon.

Personal Details

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

Host Family

Family Friend

Family Coach

Resource Friend

Other

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]

Other: Including ministry lead at a Church, 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: *

State: *

ZIP Code: *

Safe Families for Children Chapter: *

Your Church (if you have one):

How Did You Hear About Safe Families for Children:

May we communicate with you via email and text?

If there is a spouse or co-applicant please list their name, gender, date of birth, email address, phone number, and relation to you in the box below: *
Please only fill out one application per family with all information below referencing all applicants.

Please provide information for any other people living in your home other than the applicant(s). Please provide name(s), gender(s), date(s) of birth, relation(s) to you and whether they want to be actively involved in volunteering (if they are over 18): *

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? *

Have you or someone in your home ever sought professional mental health services? *

Do you have any health concerns that might impact your ability to volunteer? *

Your References

Please provide details for three independent references. 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 and either a telephone number or email address. Please choose references who know all applicants in the family.

Reference 1's Details (Church/Community Leader) *

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 for a reference 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. *

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.

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