Parents Helping Parents - Volunteer Application

Home

How To Help

Volunteer

Volunteer Application

Volunteer Application.

Which volunteer opportunity are you interested in? (Please check one box)

Parental Stress Line
Parent Support Groups
Child Care Provider

----------------------------------------------------------------------

Name:

Home Address:

Street:

City/Town

Zip Code:

Permanent Address:

Street:

City/Town:

Zip Code:

Next Information:

Phone:

Best time to call:

Email:

Date of Birth:

What is the best way to contact you?

How did you hear about PHP?

Are you over the age of 18?

Yes
No

If employed, occupation:

Work Phone:

Number of years in your ocupation:

Education:

In what languages are you fluent, besides English?

----------------------------------------------------------------------

REFERENCES

----------------------------------------------------------------------

Please give the names, and telephone numbers of the three persons who will fill out a brief reference form for you.

1. Name:

Phone:

2. Name:

Phone:

3. Name:

Phone:

NOTE: After you submit your application, you will receive a reference check form to give to your references

----------------------------------------------------------------------

PERSONAL INFORMATION

----------------------------------------------------------------------

Why do you want to become a PHP volunteer?

What do you hope to gain from this volunteer experience ?

What do you feel you can contribute to this program?

Please list any specific skills, talents or personal areas of interest that may be helpful to you in your work with PHP (languages, certifications, experience, etc.).

Have you had any experience working with parents/families? If yes, please describe.

What is your understanding about child abuse?

How do you feel about parents who are afraid they may abuse their children?

----------------------------------------------------------------------

TIME COMMITMENT

----------------------------------------------------------------------

1. Parental Stress Line

Attend comprehensive 10 hours Parental Stress Line training? (4 sessions: 2 1/2 hours each)

Yes
No

Commit 140 hours of services, begining after the end of the training program?

Yes
No

One 4 hour shift on the same day and time each week in the office?

Yes
No

One overnight shift once a month done from your home?

Yes
No

2. Parent Support Group

Attend comprehensive one day training? (8 hours)

Yes
No

A supplemental training during the year after your group has been meeting? (4 hours)

Yes
No

Will you be able to commit to one year of facilitating a support group that meets weekly for 1 ½ -2 hours

Yes
No

Additional one hour per week to publicize the group and keep quarterly reports?

Yes
No

If NO, please explain

Are there any specific evening and/or days when you are not available:

3. Child Care Provider

What days and times are you available? (Most PHP groups meet weekdays in the evening for about two hours. There are a few exceptions.)

Days

Times

How long a commitment can you make?

6 months
1 year
longer

Do you have access to a vehicle?

Yes
No

----------------------------------------------------------------------

*Note: In addition, a resume is welcome, but not required

= Required

Call: 1.800.632.8188