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Your interest in exploring volunteerism with SSIHC is deeply appreciated. The application process will help us to assess how to best welcome you into the family of SSIHC. You can utilize this form by copying and pasting it into a Word document to complete, or by printing it out and completing it. Return your completed application to us in any of several ways: · by email to Mary Mulholland at
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· by sending via U.S. mail to SSIHC 914 Silver Spring Avenue, Suite 203, Silver Spring, MD 20910-4672 ATT: Mary Mulholland· by faxing it to the attention of Mary Mulholland at 301.562.0526 Please rest assured that your application will be handled discretely and your personal information will be held in the strictest confidence. SILVER SPRING INTERFAITH HOUSING COALITION VOLUNTEER APPLICATION Date: ________________ NAME___________________________________________________________ Last First Middle Initial Address_________________________________________________________ _________________________________________________________ Phone: Home___________________ Work: ___________________________ Cell_____________________ Email____________________________ Best Time to reach you______________________________________________ Best Number to use: __________ Congregation: ________________________ Date of Birth: ____________ Languages spoken: ________________________ Educational Background: ____________________________________________ Special Training: ___________________________________________________ Current Employer: __________________________________________________ Previous Employment: ______________________________________________ Volunteer Work: (past or present) _______________________________________________________________________________________________________ Hobbies and Interests: _______________________________________________ ___________________________________________________________________ What qualities and/or skills do you have that would be helpful in working with others? ______________________________________________________________________ Have you been convicted of a crime in the past 5 years: ____yes _____no If ‘yes’ please explain___________________________________________________ _____________________________________________________________________Why do you want to be a volunteer mentor?________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ PRELIMINARY INTEREST FORM There are 3 basic ways you can become involved. Please let us know below what you feel you would best be able to do: Family Mentoring: become a support to one of the families living in our housing: providing encouragement with maintaining a household; assisting new mothers, and moms of small and teen children in educational and recreational care of their children by participating with them in activities; develop encouraging and non-judgmental relationships while being a role model in their lives Skills Training: e.g. tutoring for GED, literacy, basic Math, typing, career search assistance, basic computer training, resumes, applications, mock interviews, ESOL, life skills training, etc.) Activities Planning: e.g. preparing an apt. for a new resident, planning and celebrating birthdays and holidays with family groups, organizing field days, picnics, etc. What would YOU like to do? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Do you agree to attend the required trainings? _________________ Please name 2 people as references: Name______________________ Relationship___________________ Phone#____________________ Name______________________ Relationship___________________ Phone#____________________ SSIHC appreciates your interest in becoming a volunteer support person to our clients. By signing below, you attest to the truthfulness of all the information listed on this application. ___________________________________ _________________Signature Date
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