Volunteer Application

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Donate

Partnership for Strong Families accepts online donations through PayPal.

Intranet Login

Email & Password

Volunteer Application

Personal Information

First Name:*

Last Name:*

Address:

City:

State:

Zip:

Home Phone:*

Work Phone:

Cell Phone:

Email:*

Social Security Number:

How Did you Hear About PFSF:

Web: Friends/Family: School:Internet:Other:

If Other above, please elaborate:

Emergency Contact Information

Emergency Contact Name:*

Emergency Contact Relationship:*

Emergency Contact Home Phone:*

Emergency Contact Work Phone:

Emergency Contact Cell Phone:

Experience

Work Experience:

Company	Title	From	To

		/ /	/ /

Volunteer Experience (if applicable):

Company	Duties	From	To

		/ /	/ /

Special Skills:

Assignment Preferences:

Volunteering Information

Availability:

Why are you interested in volunteering at Partnership for Strong Families? :

Volunteering reason: school:

school:work experince:

Reference 1: Name:

Relationship:

Phone:

Reference 2: Name:

Relationship:

Phone:

Have you ever been convicted of, or pled guilty or no contest to a crime?:*

Yes No

If yes, please give details (dates, place, offense(s), disposition, etc.):*

Have you ever been charged with a crime and either been placed on a court ordered probation, had adjudication withheld, or entered a pre-trial intervention program?:*

Yes No

If yes, please give details (dates, place, offense(s), charged, disposition, etc.):

I have answered these questions honestly and to the best of my knowledge, and agree to have any of the statements checked by the organization or its representative. :

I understand that Partnership for Strong Families is a drug free environment and that if I am accepted into the volunteer program, I will abide by the agency’s policies and procedures.

I authorize Partnership for Strong Families to complete background and reference checks to help provide additional information about me. :

* denotes a required field.