Please complete this application form if you are interested in becoming an HCS Family Services volunteer. Once you complete the form, click the submit button at the bottom. We will be in touch!

Name and address

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Best Contact phone:

Cell phone:

Email address:

Date of birth:

Age:

Gender:

Community Service

If applicable, please indicate if you have mandated hours you must complete.

Required By:

Due Date:

Hours to be completed:

Please note the nature of your offense.

Volunteer Information Center

We provide an online "Volunteer Information Center" at www.hcsfamilyservices.org. Volunteers may check their schedules, update their information, and receive messages here. Please select the password you would like to use to access the online Volunteer Information Center.

This option is only valid if you provide an email address.

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

Emergency Contact

Please enter an emergency contact.

First name:

Last name:

Work phone:

Cell phone:

Email address:

Relationship:

Photo Consent

I give permission to HCS Family Services to use and publish my photograph for promotional purposes of its mission, without compensation. Mediums may include but are not limited to brochures, email, newsletters, social media and website.

Photo Consent:

I Agree

I understand and agree that submitting this application form does not automatically register me as an HCS Family Services volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree