Thank you for your interest in Jacob's House. We appreciate your time, energy, effort, and heart! Once you have completed the application, please press the submit button at the bottom of the screen. If you have any questions, please e-mail Stacey at

Volunteer Information

Please fill-out the following information.


Our facility is not able to accommodate Court ordered community service hours or probation based community service hours

Please list any health or physical limitations


Please indicate the days and times you are usually available to volunteer.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the check boxes below to select the kinds of email you would like to receive from us.

Emergency Contact

I understand the importance of this volunteer commitment and have answered the application questions honestly and to the best of my knowledge.