Interested parties may call the shelter for an interview.

 Boy’s Safe Landing  Girl’s Safe Landing  The Highlands  Respite Care Program  House Parents  Shelter Home Program

Name*:

Email*:

Address*:

City, State, Zip Code*:

Phone*:

Birth Date:

Education Level:

Present Occupation:

Employer (and/or School):

Emergency Contact (name and phone number):

Please describe any paid or volunteer work experience you have had that might relate to your interest in volunteering at Safe Landing:

Special skills, training, interests, hobbies:

Have you ever been convicted of a crime of child abuse, unlawful sexual behavior, or a felony?
 yes no

Describe any volunteer work experience you have done: