FRCC Volunteer Application

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Thank you for your submission. Family Resources and Community Connections, Inc. will be in touch soon.

First Name

Last Name

M. I.

Street Address

Apartment/Unit #

City

State

Zip Code

Phone

Have you ever been convicted of a felony?(required)

Yes No

If yes, explain

Please share your Passion/Interest

Working with Children, Mentors and Tutors are required to do a Background check http://www.health.mo.gov. Look for Family Care Safety Registry and Background Screening information. The cost is between $15.00-$20 unless you are from another state, that cost could be for a FBI check.

Are you willing to do a Background Check to work with children and older adults if necessary?

Yes No

In addition, if you have done a current background check this year, you may submit this one.

If you are already registered with the Family Care Registry, you can call 1-866-422-6872 and provide your Social Security Number, and it will be mailed or sent to your email address. Please forward to the address below.

Please attach a brief Bio or Resume with this volunteer application, a Photo and Email to: ljoycemackey@frccstl.org or mail to:

Family Resources and Community Connections Incorporated

415 Chez Paree Drive, Hazelwood, Missouri, 63042

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