Teen Volunteer Form

First name

Last name

Birthday

Month

Day

Year

Address

Home Phone

*Teen Cell Phone

*Teen Email

*School

*Religion

*Grade

*Gender

Male

Female

Parent Contact Information

Mother's Name

Mothers Email

Mothers Cell

Mother's Occupation

Father's Name

Father's Email

Father's Phone

Father's Occupation

What Programs Interest You?

Friends @ Home

Volunteers get together with their FC Friend in the child's home for 1 hr. every week or at least twice a month. This program provides the opportunity for teens to get to know their friend with FC Friend on a more personal level and build a relationship that last forever!

First Choice: Day of the Week

First Choice: Time

Time

:HoursMinutes

Second Choice: Day of the Week

Second Choice: Time

Time

:HoursMinutes

What are your hobbies or special interests?

Do you have a friend with whom you would like to volunteer?

Yes

Friend's Name

Friend's Number

Are your parents available to drive you to and from the child's home?

Yes

Please list one reference who is not a relative. (For New FC Volunteers Only)

Full Name

Relationship

Reference's Phone

Reference's Email

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 FC Friend in advance

I will send in a report after every time I volunteer

In the event of a volunteer function I will try my hardest to attend however, regardless, I will always respond

Parental Consent

*I give my teen permission to volunteer in the Friendship Circle

Yes

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