Volunteer Co-facilitator Application

Name

First

Last

Date of birth

Pronouns

Street address

City

State

Zip code

Cell phone

Email address

Emergency contact

Name

Phone number

Please provide the name and email of two references.

Please select each of the following statements to indicate your understanding.

I understand that I must attend both sessions of the Volunteer Co-Facilitator Training before becoming a co-facilitator in a peer support group sponsored by Sharing Kindness.

I understand that Sharing Kindness reserves the right to accept or reject any potential trainee as a co-facilitator even after completing the 2-day training.

I understand that this training is offered only to those who intend to volunteer for at least one year as a co-facilitator of a peer support group sponsored by Sharing Kindness, and that the minimum commitment is for 3 hours per session in a group that meets every other week.

If accepted into the training, I understand I will be asked to complete a Background Check/CORI at my expense.

I understand that facilitating children may be physically active. I can physically climb stairs, sit on the floor and play actively. I will contact the Sharing Kindness staff if I cannot perform these tasks.

Please provide information about the deaths and other losses you have experienced.

Describe your reasons for applying. What you hope to gain personally from training and volunteering?

Describe any previous training you have had related to the grieving process.

Describe your personal, professional and/or volunteer experiences with children, teens, and adults.

Do you speak any languages besides English? If so, please list.

If you would like to say more about your race, ethnicity, and/or tribal affiliations, please use this space.

Volunteer Co-facilitator Application

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