Volunteer Application
Thank you for your interest in volunteering with the Family Abuse Center! This questionnaire is for the Volunteer Coordinator to get to know a little about your interests and your availability for the semester, year, etc. If you have any questions about this form please email: celestina.salinas@familyabusecenter.org.
Community Service for Tickets, Pre-Trial Intervention, or County Requirement
If you are needing to complete Community Service hours for a ticket, Pre-Trial Intervention, or any other McLennan County or County requirement, you cannot complete these hours with the Family Abuse Center. Please inquire about other agencies and organization you can volunteer at. The County requiring Community Service should have a list of all the organizations that you can complete your required community service hours.
Demographic Information
1. Name
*
First Name
Last Name
2. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. Phone Number
*
Please enter a valid phone number.
4. Email
*
example@example.com
5a. Emergency Contact
*
First Name
Last Name
5b. Emergency Contact Phone Number
*
Please enter a valid phone number.
6. Gender
*
Female
Male
7. Race
*
African American
American Indian
Anglo
Asian
Hispanic
Other
8. Date of Birth
*
-
Month
-
Day
Year
Date
9. Age
*
10. Highest Level of Education Completed
*
Middle School
High School
Technical School
College - Associates
College - Bachelors
College - Masters
Other
Volunteer Program Questions
11. Availability to Volunteer (Select All That Apply)
*
Monday Mornings (Sunrise to 12:00pm)
Monday Early Afternoons (12:00pm to 3:00pm)
Monday Mid Afternoons (2:00pm to 4:00pm)
Monday Late Afternoons (4:00pm to 6:00pm)
Monday Evenings (6:00pm to 9:00pm)
Tuesday Mornings (Sunrise to 12:00pm)
Tuesday Early Afternoons (12:00pm to 3:00pm)
Tuesday Mid Afternoons (2:00pm to 4:00pm)
Tuesday Late Afternoons (4:00pm to 6:00pm)
Tuesday Evenings (6:00pm to 9:00pm)
Wednesday Mornings (Sunrise to 12:00pm)
Wednesday Early Afternoons (12:00pm to 3:00pm)
Wednesday Mid Afternoons (2:00pm to 4:00pm)
Wednesday Late Afternoons (4:00pm to 6:00pm)
Wednesday Evenings (6:00pm to 9:00pm)
Thursday Mornings (Sunrise to 12:00pm)
Thursday Early Afternoons (12:00pm to 3:00pm)
Thursday Mid Afternoons (2:00pm to 4:00pm)
Thursday Late Afternoons (4:00pm to 6:00pm)
Thursday Evenings (6:00pm to 9:00pm)
Friday Mornings (Sunrise to 12:00pm)
Friday Early Afternoons (12:00pm to 3:00pm)
Friday Mid Afternoons (2:00pm to 4:00pm)
Friday Late Afternoons (4:00pm to 6:00pm)
Friday Evenings (6:00pm to 9:00pm)
Saturday Mornings (Sunrise to 12:00pm)
Saturday Early Afternoons (12:00pm to 3:00pm)
Saturday Mid Afternoons (2:00pm to 4:00pm)
Saturday Late Afternoons (4:00pm to 6:00pm)
Saturday Evenings (6:00pm to 9:00pm)
Sunday Mornings (Sunrise to 12:00pm
Sunday Early Afternoons (12:00pm to 3:00pm)
Sunday Mid Afternoons (2:00pm to 4:00pm)
Sunday Late Afternoons (4:00pm to 6:00pm)
Sunday Evenings (6:00pm to 9:00pm)
12a. Can you speak, read, and/or interpret another language? (If your answer is no, continue to question 13)
*
Yes
No
12b. If you answered yes for 12a, what language(s)?
Example: Spanish, ASL, French, Creole, etc.
13a. Are you needing to complete volunteer hours as a requirement? (If your answer is no, continue to question 14)
*
Yes
No
13b. Are you needing to complete volunteer hours as a punishment (court-ordered, probation, citation, or otherwise) for McLennan County or any other county?
*
Yes
No
13c. If you answered yes for 13a, by what date do you need to complete your volunteer hours by?
-
Month
-
Day
Year
Date
13d. If you answered yes for 13a, how many hours are required?
13e. Name of course/organization/scholarship requiring volunteer service?
14. Skills and Experience (Select all that apply)
*
Administrative/Clerical
Health and/or Physical Fitness
Public Speaking and/or Tabling Events
Translation
Working with Children and/or Youth
Repair and Maintenance Work
15. Volunteer Opportunity Area of Interests (Select all that apply)
*
Children's Group (Free play, support group activities)
Handyman/woman
Landscape/Gardening
Motivation Station (Homework help, tutoring, educational activities)
Moving Furniture
Organizing/Cleaning
Pet Fostering (No more than 2 weeks)
Resident Advocate Assistant
Hotline Volunteer
16a. Have you ever been a paid employee of Family Abuse Center? (If your answer is no, continue to question 17)
*
Yes
No
16b. If you answered yes for 16a, what were the years of employment?
Example: 2013-2014
17. Which Volunteer Orientation Session will you be available to attend? (Select all that apply)
*
Monday 4:00pm - 5:30pm
Monday 5:30pm - 7:00pm
Tuesday 4:00pm - 5:30pm
Tuesday 5:30pm - 7:00pm
Wednesday 4:00pm - 5:30pm
Wednesday 5:30pm - 7:00pm
Thursday 5:00pm - 6:30pm
Saturday 10:00am - 11:30am
Would you like to receive our monthly volunteer newsletter for updates, opportunities, and other FAC related information?
*
Yes, subscribe me to this newsletter.
No, thank you.
Next Steps:
Please be on the lookout for an email from celestina.salinas@familyabusecenter.org in response to your submitted application. It may be sent to the Spam/Junk folders in emails. If you have any questions about this form please email: celestina.salinas@familyabusecenter.org
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