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Main Phone 828-438-6255Toll Free 866-427-6452Fax 828-433-5721
Alexander, Burke, Caldwell, Catawba, Gaston,Mecklenburg, Rutherford, Stanly, Union
Foster Grandparent Application**Please complete all sections. Forms with original signatures are required for enrollment**
FGP provides a mileage reimbursement for travel between home and volunteer site to the volunteers.
As a FGP volunteer, you will be covered by accident and personal liability insurance plus a small death benefit while performing volunteer duties. This coverage is automatic and free of cost to you as long as you are an active, enrolled member of FGP. Please provide the following information on the remaining pages.
Beneficiary for FGP Supplemental Accident Insurance:
The following information will help FGP match you with a volunteer opportunity:
By signing below, I acknowledge that I have read and understand the following statements:
Equal Employment Agency. BRCA FGP is an equal opportunity agency. Enrollment is done without regard to race, color, national origin, gender, sexual orientation, religion, age, disability, political affiliation, marital or parental status, or military service. FGP provides reasonable accommodations to the known disabilities of individuals in compliance with the Americans with Disabilities Act. For accommodation information or if you need special accommodations to complete the application process, please contact BRCA FGP at (828) 438-6255
For questions or futher information contact:
email@example.com (828) 758-4290, Ext 3
I certify that to the best of my knowledge all income has been stated for the next 12 months and is correct. Also, I have read the above statements and hereby agree.
The following information is optional and will not affect you enrollment with BRCA FGP