Application Form



EDUCATION AND EXPERIENCE

High School




YesNo

College




YesNo


Other




YesNo



AVAILABILITY


YesNo




VOLUNTEER/INTERN OPPORTUNITIES




Please Read Carefully and Sign Below:

I hereby certify that the information provided on this application is true and complete. I hereby authorize the Family Support Center of Washington County to check my educational and personal references. I understand that an FBI Criminal Background check will be required yearly as long as I remain a volunteer/intern of the Family Support Center.
The Family Support Center of Washington County makes every effort to provide “Reasonable Accommodations” to ensure that no person on the grounds of race, nationality, sex, or handicap be excluded from participating in program services or be subject to discrimination under activities sponsored by this program/agency. The Family Support Center of Washington County will comply with all anti-discrimination statutes enacted by the State of Utah.
I understand that as a volunteer/intern I can terminate my relationship with the Family Support Center of Washington County at any time and for any reason and that the Family Support Center of Washington County has that same right.