Volunteer Application

Contact Information
- The information in this application will assist us in selecting and placing volunteers. Please complete the entire application and forward it to the Family Justice Center. All information you provide is kept confidential.
- Date of Birth: *
  
  Please Enter your Date of Birth
  
  Name *
  
  Please Enter Your Name
  
  Street *
  
  Please enter your address.
  
  City *
  
  Please enter your city.
  
  State *
  
  Please select your state.
  
  Postal Code *
  
  Invalid format.Exceeded maximum number of characters.Please enter a valid zip code.
  
  Email *
  
  Invalid format.Please Enter A Valid Email Address
  
  Phone - Day / Cell: *
  
  Invalid format.Please Enter Valid Phone Number
  
  Home: *
  
  Invalid format.Please Enter Valid Phone Number
Employment History
- Please provide information on your employment history, volunteer experience and educational background starting with most recent employment first. You may also attach a current resume.
- Employer 1 *
  
  Please enter Employer Name.
  
  Title/Position
  
  Dates
  
  Employer 2
  
  Title/Position
  
  Dates
Volunteer Experience
- Agency/Organization 1
  
  Description of Work
  
  Dates
  
  Agency/Organization 2
  
  Description of Work
  
  Dates
Educational Background
- School 1
  
  Degree/Diploma
  
  Dates
  
  School 2
  
  Degree/Diploma
  
  Dates
  
  Are you volunteering to fulfill a school/community service requirement? *
  
  Please Select One
  
  If yes, please specify the number of hours required to fulfill your commitment:
  
  If yes, what college?
  
  What year:
  
  Major
General Information
- Are you fluent in any language other than English? *
  
  Please Select One
  
  If yes, which languages?
  
  Do you interpret sign language? *
  
  Please Select One
  
  How did you hear about the Family Justice Center?
  
  Why are you interested in volunteering?
  
  What do you hope to gain from this experience?
  
  Any experiences, skills, and interests you possess that may be beneficial for the Family Justice Center?
Availability
- What days are you available? *
  
  Please select all available days. Hold control key and click to select more than one day.
  
  Best times between 8:30 AM and 5:30 PM *
  
  Please Enter Times Available
- Are you able to make a 6-month commitment to volunteer at the FJC? *
  
  Please Select One
  
  Are you interested in volunteering for events and/or on board committees? *
  
  Please Select One
Optional
- (All information you provide is kept confidential.):
- Are you a former victim or survivor of domestic violence? *
  
  Please Select One
  
  A criminal check may be required before you are placed as a volunteer at the FJC. Have you ever had a criminal action brought against you? *
  
  Please Select One
  
  If yes, please explain:
References
- Name *
  
  Please enter your name
  
  Relationship *
  
  Please Enter Relationship
  
  Address *
  
  Please Provide Address
  
  City *
  
  Enter City
  
  State *
  
  Enter State
  
  Zip *
  
  Invalid format.Enter Valid Zip Code
  
  Phone *
  
  Invalid format.Enter Valid Phone Number
  
  Email *
  
  Invalid format.Enter Valid Email Address
  
  Name *
  
  Please Enter Reference Name
  
  Relationship *
  
  Enter Relationship
  
  Address *
  
  Please Enter Address
  
  City *
  
  Enter City
  
  State *
  
  Enter State
  
  Zip *
  
  Invalid format.Enter Valid Zip Code
  
  Phone *
  
  Invalid format.Enter Valid Phone Number
  
  Email *
  
  Invalid format.Enter Valid Email Address
- I attest and certify that all the information written in this application, to my knowledge is true. *
  
  Please Check Box if you Agree to Statement.