Fields marked with a * are required
New Volunteers will be interviewed before placement.
Full Name (Including middle initial*)
District of Columbia
Zip / Post Code
Date of Birth
Does your employer offer a matching fund or company contribution for your volunteer service?
How did you learn about the Fort Bend Women’s Center (FBWC) volunteer program?
If other please specify
Are you volunteering to fulfill school (or church) service requirements?
If yes, how many hours?
By what date?
The following information is not required, but will help FBCWC when applying for grant funding
If other please specify
Immediate needs are listed. Which volunteer opportunities interest you?
Indirect Services & PennyWise Resale Stores
** The Junior Fashionista Board are volunteers between the ages of 14-21 that love fashion and would like to have an opportunity to earn service hours, be part of quarterly fashion shows, learn merchandising skills, and advise customers on fashion tips. (Please submit a 100 word paragraph as to why you would like to serve on this board.)
Residential & Non-Residential Direct Services
For volunteers interested in working directly with our survivors, a 40 hour training is required. This training is offered 3 times a year. Speak with the Volunteer Coordinator for more information.
Group Opportunities: Great way to involve your family, church group, or civic club!
If other, please specify
Emergency Contact Information
CONFIDENTIALITY STATEMENT: In efforts to protect the identity and safety of the clients served by the FBWC and maintain confidentiality of the shelter location, all staff and volunteers must sign this confidentiality agreement, promising not to divulge the identity of any client or disclose any other information pertaining to a client.
LIABILITY RELEASE: I release the FBWC and Resale Store from all liability pertaining to accidents, injuries, or complications resulting from activities. I authorize the FBWC or other emergency vehicles to transport me to the nearest hospital in case of injury. I authorize the hospital to administer the necessary care. I understand the FBWC is not responsible for medical costs associated with any injury.
PHOTO/MEDIA RELEASE: I hereby give permission to the FBWC to photograph me, video/audio me, and use my name on the FBWC website, social media, donor communications and external media publications.
DIVERSITY STATEMENT: I understand that it is the goal of the FBWC to strive to develop a governing body, staff, volunteer base and clientele that is representative of the community served, and that is diverse in gender, age, race, sexual orientation, national origin, religion, and disability status.
CRIMINAL BACKGROUND: If your volunteering involves working directly with our clients, you will be required to complete all relevant training, submit two personal references, and provide social security information in order to conduct a criminal history background check.
The checked boxes above and my signature below constitute my understanding and acceptance of these policies set forth by the FBWC.
This box must be checked in order for your application to be processed.
Your Full Name
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