Volunteer Contact Form

Volunteer Contact Form
Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Interest
Occupation
Emergency Contact
Medical Insurance
Health issues/restrictions we should be aware of:
Why are you interested in volunteering with our organization ?
Please be advised training and feeback/brainstorming sessions will take place on scheduled dates that will be announced.
This opportunity is solely voluntary and although you may receive many benefits from helping our youth reach their full potential in life, you will not be compensated monetarily. Please affirm that this is fully understood.*

Yes
You agree to maintain confidentiality, unless it is a health or safety risk to do so, with any personal information gained through your work with us. Please affirm that this is fully understood.*

Yes
You will keep yourself and others safe while participating in organization sponsored events/outings. Please affirm that this is fully understood.*

Yes
In order to maintain the integrity of Father Figures Mentoring and Transitional Inc. if any unethical behavior is brought to our attention, you may be asked to no longer participate with the program and cease all contact with participants. Please affirm that this is fully understood.*

Yes
Should be Empty: