Family Helpline - Parents Inc of New Jersey

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Parents Inc. of New Jersey Helpline volunteers answer calls from the comforts of their own homes. Callers include parents, grandparents, and professionals under stress and in crisis, teens who think they might be pregnant or even a child wanting to talk to someone.

Helpline Volunteer Application

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Name

First

Last

Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Daytime Phone #

Evening Phone #

Date of Birth

Number of Children (if any)

Ages

In Case of Emergency, notify (Name, phone number, relationship)

Highest Level of Education Attained

What University do/did you attend?

Other Training(s)

Skills, Interests, Hobbies:

Foreign Languages

Language

Fluency

Speak
Read
Write

Group Affiliations

Previous Volunteer Experience

Any Physical Limitations?

Have you ever been convicted of a crime?

Where did you learn about Parents Inc. of New Jersey?

Expectations

This section is designed to help clarify your attitudes toward parents with anger and control problems, and your expectations concerning your involvement in Parents Inc. of New Jersey. Your attitudes and expectations will influence your attitude toward your experience here.

Do you have a history of child abuse, neglect, or trauma?

I would like the following issues addressed during training:

As a Parents Inc. volunteer, I may experience the following difficulties:

References

Please provide us with the name, address, and phone number of three people we can contact as references. NO RELATIVES, PLEASE.

Name

Address

Daytime Phone #

Name

Address

Daytime Phone #

Name

Address

Daytime Phone #

As a Volunteer for Parents Inc. of New Jersey, I Pledge to:

1. Attend orientation and at least one quarterly meeting each year.

2. Be available for telephone contact with Parents Inc. group members and other public and/or professional individuals as needed.

3. Make a minimum of a one-year commitment to the Parents Inc. group or Helpline.

4. Give Parents Inc. of New Jersey at least one month’s notice if I am unable to continue volunteering.

5. Be subject to a reference/background check.

Where Other of

Signature

Clear Signature

Date