1. The Basics
2. Your Information
3. Volunteer Experience
4. Next Steps

1. The Basics

* Do you have at least two hour per week and a minimum of six months you can commit to volunteering as a PAL?
Yes
No
* Are you over 18 years old?
Yes
No


* Where did you hear about the Playspace Program?

2. Provide your general information

* First name

* Last name

* Street Address

* Zip
* City, State
 
Please enter all phone numbers
in this format: 123-456-7890
* Phone #
* Type
Alternate #
* Type
* E-mail

* Emgcy. Contac

* Phone

* Relationship

* Date of birth
* Gender
Male
Female
Prefer not to say
Horizons for Homeless Children is required to maintain records for reporting to state and federal funding agencies. Please check one:
* Ethnicity
* Employment status

3. Volunteer Information

* In which region are you interested in volunteering?
* What Playspace training do you plan on attending?
* Please list the names and daytime phone numbers of two references. List at least one professional reference and one reference who has seen you interact with children (not a family member).
* Reference Name
* Reference Name
* Reference Phone #
* Reference Phone #
* Relationship
* Relationship
Please answer the following questions.
Do you have previous experience with homeless children?
Yes
No
Why do you want to work with homeless children?
What do you hope to gain from your volunteer experience?
Describe your past volunteer experiences.
What challenges do you expect to encounter in volunteering with homeless children?

4. Next Steps

Thank you for submitting your application to be a Playspace Activity Leader (PAL). We are so excited you are interested in joining our efforts to improve the lives of young children without homes. We will review your application and provide a response within two business days.

In the meantime, we encourage you to learn more about homelessness. To learn more,click here.
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