APPLICATION FOR SON-RISE PROGRAM
Address
How did you hear about us?
How many hours per week are you wanting to volunteer?
4-8
10-20
20-30
30-40
How many months can you commit to our program?
1
2
3
4
5
6
7
8
9
10
11
12
Please list the times that you will be available to volunteer:
Morning
Afternoon
Evening
Have you read any books by Barry Neil Kaufman (Son-Rise, the Miracle Continues, Happiness is a Choice, To Love is to be Happy With, A Miracle to Believe In, Giant Steps) ?
Yes
No
Why do you want to volunteer in our program?
Ideally, what would you like to gain for yourself in volunteering with us?
Please list at least 3 personal references: name and phone numbers (not family):
Do you feel you have any physical limitations or health problems that might affect your work with our child? (If yes, please explain):
Have you ever attended a program at the Option Institute and Fellowship? (If yes, which ones?)
We would love to know more about you. Please write anything about yourself, your life, your personality, your desires for yourself, etc., so we have a better picture and understanding of you:
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