Volunteer Information
First Name   Last Name  
Birthday   Address  
City   State  
Zip   Home Phone  
Cell Phone   Email  
School   Religion  
Grade    Gender    M    F
Parent Contact Information
Mother's Name   Father's Name  
Mother's Email   Father's Email  
Mother's Cell   Father's Cell  
Mother's Occupation   Father's Occupation  
Additional Information
When would you like to volunteer at the home of a child with special needs?
First Choice: Day of the Week   Time  
Second Choice: Day of the Week   Time  
Do you have a friend with whom you would like to volunteer  
Friends Name   Phone Number  
Where did you hear about Friendship Circle   
Are you parent's available to drive you to or from the child's home?            (to)  
Please list one reference who is not a relative.  (For New FC Volunteers Only)
Name   Relationship  
Volunteer Agreement
  In the event that I am unable to volunteer I will try to find another day to substitute and I will call my special friend in advance and Contact the FC ofice.
  I will send in a report after every time I volunteer
    In the event of a volunteer function I will try my best to attend  however, regardless, I will always respond.
Parental Consent
I give my teen permission to volunteer in the Friendship Circle  
I give permission for my teen's photo/s to be used for publicity purposes.  
I (Parent of the Volunteer), would be interested in assisting the Friendship Circle in future Events  

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