FAMILIES HELPING FAMILIES

A FAMILY DIRECTED RESOURCE CENTER

Families Helping Families Volunteer Application


Please fill out the information and return it to Melissa Brossette by mail or fax. Mail to Families Helping Families, Melissa Brossette,  2840 Military Highway Pineville, La. 71360 or Fax 318-640-4299


Name:_______________________________________________________________________________ Date:____________________________________________________________


Address:________________________________________________________________About Us____________ Date of Birth:____________________________________________________


______________________________________________________________________________________ Phone Number: _________________________________________________


Do you have a family member with a disability?   Yes  No


Training (school, college, vocational school, other volunteer work, other: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


References: List 2 names and addressed of people that are not related to you and have known you for at least 2 years.

1. Name: _________________________________________________________________ Phone Number____________________________________________________________________


Address: ________________________________________________________________________________________________________________________________________________________________


2. Name: _________________________________________________________________ Phone Number___________________________________________________________________


Address:______________________________________________________________________________________________________________________________________________________


Are you volunteering due to a judges order of community service?  Yes  No


If so Why do you have community service: _______________________________________________________________________________________________________________________________________________________________


Number of hours requires: _____________________________________________________

Probation Officers Name: ____________________________________________________________ Phone Number:__________________________________________________


All check areas of interest and skills you have and are willing to perform as a volunteer for the office Families Helping Families.

____Data Entry   ____ Answering Telephones     ____ Typing     ____ Filing   ____ Compiling Information Packets 

____ Janitorial Services      Copying    ____ Developing Resource Files


For more information please contact Families Helping Families @ 318-641-7373