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: Elysa.Atmosfera@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 please refer your contact at the County requiring Community Service for other organization's webpage.
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. If you answered yes for 13a, by what date do you need to complete your volunteer hours by?
-
Month
-
Day
Year
Date
13c. If you answered yes for 13a, how many hours are required?
13d. 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
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
Next Steps:
Please be on the lookout for an email from Elysa.Atmosfera@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: Elysa.Atmosfera@familyabusecenter.org.
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