Family Service of Central Indiana, Inc. - Volunteer

	Home	Volunteer	Pledge	Tips for your family
	About us	News	Events	Our programs and services

	We're hiring!
	Family Service is looking for several dedicated individuals to join our staff (updated on 6/11/08).

	Let’s give a Salute to Family!
	Salute to Family was a huge success. Three special families received an Alice M. Ross “Salute to Family” Award.







	Vistas helps older adults at all stages of need to maintain their independent lifestyle.

	Family Service is accredited by the Council on Accreditation

	Volunteer	\|	Available Opportunities	\|	Past Group Activities	\|	Find Out More

Volunteer Interest Form

For more information about our volunteer opportunities, please complete the form below to tell us more about yourself and your interests.

ABOUT YOU
Name
Phone (Daytime)
E-mail

Current occupation
Employer or School name
Work Phone

Special skills, training, hobbies, languages
Previous volunteer experience

INTERESTS & AVAILABILITY
In what area would you want to volunteer? (please check all that apply)?
	Business Support / Clerical
	Children
	Community Outreach
	Domestic Violence Victims
	Older and Challenged Adults
	Parent Mentor
	Special Events

When would you like to volunteer (please check all that apply)?

	Monday	Tuesday	Wednesday	Thursday	Friday	Sat/Sun
Morning
Afternoon
Evening

How often would you like to volunteer?
Weekly	Every other week	Monthly	As needed
Other

Where would you like to volunteer (please check all that apply)?
No preference	Boone County	Hancock County	Morgan County
Marion County	Hamilton County	Hendricks County

Do you have a car with insurance coverage and would you be willing to transport clients as part of your volunteer work?
Yes	No

Do you smoke?	Yes	No

Would you be willing to work with a client who smokes?	Yes	No

How did you learn about Family Service?

All applicants must agree with this Liability Waiver to be considered for volunteer service: I guarantee that the information I have provided is accurate and complete. If I wish to serve as a volunteer, I must agree to an interview and I will complete the Authorization for Release of Criminal History and Driving Records. I understand that I may be asked to provide proof of automobile insurance. Additionally, I expressly assume any and all risks associated with my pending volunteer service. I hereby waive, release and discharge Family Service and its representatives, employees and clients from any and all claims, liabilities, debts and causes of action that may result from my volunteer service with Family Service.

I agree with the Liability Waiver	I do not agree with the Liability Waiver

Persons under 18 years of age must secure permission from a parent and/or guardian in order to volunteer with Family Service. If you are under the age of 18, please check this box .


	© Copyright 2008 - Family Service of Central Indiana, Inc. - All rights reserved
	615 N. Alabama St., Suite 320; Indianapolis, IN 46204 \| 317.634.6341 \| fax 317.464.9575
	Page Last Modified: 3/6/2008