Shatterproof Family Program Facilitator Application

Family Support Program Facilitator Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.







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 alopez@shatterproof.org.

Tell us more about you



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.



OUR POLICY
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.