Contact Information

Citizenship
U.S. Permanent ResidentAlien
Authorized to work in US?
yesno


Do you speak Spanish?yesno

Emergency Contact Information

Education

High School/GED

College

Other

Availability

During which days/hours are you available for STAR House program volunteer assignments?

Weekday afternoons

Elementary Schools 3:00 - 5:00 PM *
MonTuesWedThursFri

STAR House Fundraising Events
Weekend EventsEvening EventsOther (Please Explain)

How often would you like to volunteer?
DailyWeeklyBi-WeeklyOther (Please Explain)

Interests

1. Tell us in which areas you are interested in volunteering (Please check all that apply)

Working directly with childrenSpecial Events/ProjectsCommunity OutreachFundraisingEnrichment ProgramsAdministrative
2. How did you hear about STAR House?

3. What motivates you to want to volunteer at STAR House?

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Personal References

First Reference

First Reference

Background Information

In the past 5 years, have you ever been convicted of any crime other than a minor traffic violation? *
yesno

Uploads

Background Check (Roswell Police Department)

Child Abuse and Neglect: Mandated Reporting Certificate

Driver's License

Agreement and Signature

Agreements *

By submitting this application, I affirm that the facts set forth in it are true and complete.
I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
I authorize STAR House Foundation, Inc. to utilize a background check, including the use of law enforcement authorities, and I release STAR House Foundation, Inc. from any liability based on such release.
I understand that as a STAR House volunteer I am a mandated child abuse reporter for the state of Georgia and will be required to complete a training program prior to working with children.
I understand volunteer positions are assigned on the availability of an appropriate assignment.
I have read and agree to follow the guidelines and regulations that govern STAR House Foundation, Inc.
I will inform the Director or staff members of any behavioral problems, conflicts or grievances with peers, volunteers, staff members or otherwise.
I hereby agree to always consider the children’s best interest while volunteering at STAR House.
I hereby acknowledge that STAR House reserves the right to terminate my services at any given time with or without notice.

By Checking This Box, I agree to the Terms and Conditions set forth by STAR House Foundation

Full Name

Date