Volunteer Registration

First Name *

Last Name *

Birthday//

Contact Information

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone Number *

Email *

Religion *

School/Occupation *

Grade

Medical Information

Allergies/medical concerns *

Emergency Contact Name (First Name, Last Name) *

Phone Number *

Cell Phone *

References

Please list 2 non-family references:

Reference 1

Full Name / Phone / Connection

Reference 2

Full Name / Phone / Connection

Parent Information

Required for volunteers under age of 18.

Mother's Name (First Name, Last Name)

Mother's Cell

Occupation

Email

Father's Name (First Name, Last Name)

Father's Cell

Occupation

E-mail

Marital Status

Married
Divorced

Programs

TEEN SCENE

>Sunday, twice a month, 3:00-4:30 PM
Teen volunteers and teens with special needs get together monthly for social activities and group "hang outs", where they can have a great time while enhancing their social skills!

YOUNG ADULT CIRCLE

>Thursday, twice a month, 6:00-7:30 PM
Young adult volunteers and young adults with special needs come together monthly to form a social group in a non-judgmental and accepting environment. They get to experience an exciting array of activities such as karaoke, art, baking, sports and so much more.

CULINARY CLUB

>One Sunday a month, 4:00-5:00 PM
Travel the world & discover different yummy cuisines with fun, talented chefs!! Socialize with friends, discover your hidden talents, and come home with deliciousness and lots of pride!!

FRIENDS AT HOME

>Once a week throughout the school year, accommodates a wide variety of schedules (Open for families who are a part of our Teen Scene Program)
Friends@Home pairs teenage volunteers and children with special needs for hours of fun and friendship through weekly home visits. This provides children the chance to bond with their volunteers in an environment they are most comfortable in, while their parents and siblings receive much-needed respite.

Through the weekly visits, the pair establishes a warm friendship that combats the loneliness and isolation so often felt by individuals with special needs while their teen volunteers learn the priceless value of giving.

MOM'S NIGHT OUT

A special evening, giving our dedicated & noble moms a chance to unwind & relax.

Life Skills & Job Training Program

Monday- Friday, 9:00 A.M- 3:00 P.M. Our goal is to provide our Adults with special needs with an immersive, real- world environment where they can practice critical life and job skills. The program includes hands on training in The Friendship Cafe, interpersonal & communication skills, academics such as basic math & reading, Yoga & relaxation techniques, a Mentorship program, Arts & more.

For Friends at Home and or Life Skills & Job Training Program - Which days are you available to volunteer?

For Friends at Home and or Life Skills & Job Training Program -What times work best for you?

For Friends at Home - Are you able to arrange transportation to and from your special friend's home?

Yes
No

Do you have a friend you would like to volunteer with? (Write his/her name)

I would like to volunteer for the following *

Volunteer Registration