Volunteer

Thank you for your willingness to serve!

When: 3pm-6pm after school

Where: West Laurel Baptist Church 1400 W 5th St behind Walgreens

Ages: 16 and up

Fill out the Availability Form below to volunteer. All volunteers must:

Provide an Immunization Compliance Form 121 (from the Health Department)
Attend a minimum of 1 hr orientation training to review child abuse laws, emergency exit procedures and handbook.

Today's Date *

Your name *

First

Last

Address City State Zip *

Date of Birth *

Email *

Phone *

When are you available to volunteer? *

How many weeks could you commit for?

Weeks: 1

Medical Information: Any Allergies, disabilities, or medical conditions *

Asthma, Allergies, Seizures, Diabetes, etc

What would you like to help out with? Choose as many as you like. *

Please briefly describe your education, training, college attended (copy) *

Please briefly describe any experience you have in childcare. Years of experience, volunteer work as well *

Comments, Special Skills, or Certifications *

3044

Hours:

Monday-Friday 3:00pm-6:00pm

Address:

1400 W 5th Street Laurel MS 39440

Mailing Address:

P O Box 2242 Laurel MS 39442

Contact Info:

Beth Johnson

601-518-5000

beth@fishersofmencenters.org