Shatterproof Family Program Instructor Application

Before you begin the application process, please review these FAQs, which include information regarding the $1,250 program fee.

Family Support Program Facilitator Application

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Additional Contact Information

Shatterproof Involvement & Volunteer Experience

If you're not able to commit to the weekly hours or cannot commit to a full year, it may not be a good fit at this time. To discuss your situation individually, please contact Anne De Santis Lopez at

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Previous Volunteer Experience

Agreement & Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a facilitator, any false statements, omissions, or other misrepresentations made by me may result in reconsideration of my application.

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

On behalf of Shatterproof we thank you for completing this application form and for your interest in becoming a Shatterproof Family Program Facilitator.