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(850) 488-0288
info@capitalareahealthystart.org
1311 N. Paul Russell Rd. Suite A-101, Tallahassee, FL 32301
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Capital Area Healthy Start
Serving the Capital City Area
About Us
About Us
Board & Staff
Careers & Volunteers
Our Partners
Service Delivery Plan
Contact Us
Our Programs
Connect Program
Healthy Start
Sister Friends
FIMR
Parents As Teachers
TEAM Dad
Milk Depot
Community Doula Program
C.O.A.S.T.
Success Stories
Our Initiatives
Littles to Leaders
Connect Family Partner
Resources
Resource Center
Car Seat Installation
Grieving Families
Social Media Toolkits
Healthy Mom Resources
Healthy Baby Resources
News & Events
Community Newsletters
News & Events
Lunch & Learn Series
Angel Awards
Walk to Remember
Participant Information
DONATE
About Us
About Us
Board & Staff
Careers & Volunteers
Our Partners
Service Delivery Plan
Contact Us
Our Programs
Connect Program
Healthy Start
Sister Friends
FIMR
Parents As Teachers
TEAM Dad
Milk Depot
Community Doula Program
C.O.A.S.T.
Success Stories
Our Initiatives
Littles to Leaders
Connect Family Partner
Resources
Resource Center
Car Seat Installation
Grieving Families
Social Media Toolkits
Healthy Mom Resources
Healthy Baby Resources
News & Events
Community Newsletters
News & Events
Lunch & Learn Series
Angel Awards
Walk to Remember
Participant Information
Sister Friend Application
Step
1
of
6
16%
Last Name:
(Required)
First Name:
(Required)
Middle Initial:
Today's Date:
(Required)
MM slash DD slash YYYY
Address:
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
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Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
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Maryland
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone:
(Required)
Email:
(Required)
Birth Month:
(Required)
January
February
March
April
May
June
July
August
September
October
November
December
Your Age Range:
(Required)
18-25
26-34
35-42
43-55
55 - up
I prefer not to disclose.
Date Available:
(Required)
MM slash DD slash YYYY
Tell us about your previous volunteer experience:
(Required)
What would you like to share about yourself and why you want to be a Sister Friend:
(Required)
What do you want most in a Little Sister?
(Required)
What hobbies do you enjoy, or skills do you have?
(Required)
Have you ever worked with or volunteered with Capital Area Healthy Start Coalition?
(Required)
Yes
No
Would you prefer a Little Sister in the following age range knowing that the range selected will not be guaranteed?
(Required)
Teen
20-24 years old
25 and up
No Preference
Have you ever been convicted of a felony?
(Required)
Yes
No
If yes, explain:
References
Please list two references; one personal and one professional.
1) Full Name:
(Required)
Relationship:
(Required)
Email
(Required)
Company:
(Required)
Phone:
(Required)
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
2) Full Name:
(Required)
Relationship:
(Required)
Email
(Required)
Company:
(Required)
Phone:
(Required)
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Work/ School
Do you work or attend school?
(Required)
Yes, I attend school.
Yes, I work.
No, I do not attend school.
No, I do not work.
Other
Name of School or Company Name
School or Company Address:
Street Address
City
State / Province / Region
ZIP / Postal Code
Job Title:
Responsibilities:
Commitment Statement
Commitment Statement:
1. Conduct. In both my professional and personal life, I commit to conducting myself in manner that reflect the core values of:
Integrity.
Operating in honesty and moral uprightness with all information and property entrusted to me by the Project.
Consistency.
Being consistent and dependable with obligations of the Project and my Little Sister.
Good Faith.
Dealing fairly, with all sincerity, in all dealings with the Project and Little Sister.
Compliance.
Adhering to rules, boundaries and expectations of the Project.
Communication.
Open and timely responses to requests of the Project and/or Little Sister.
Conflicts.
I will contact the Project and/or it’s designee when I experience conflict for which I’m unable to independently resolve.
2. Availability. I commit to being responsive to the needs of the project and my Little Sister, including but not limited to:
- I will make all attempts necessary to be available to the project and my Little Sister for five (5) hours per week for at least eighteen (18) months from acceptance into the Project.
- I will make all attempts necessary to achieve a minimum of two (2) contacts with my Little Sister in the form of either in-person or virtual meetings per month; more contacts than the minimum is welcomed. Monthly contacts should occur in both the first half of the month (Days 1-15) and second half of the month (Days 16-31).
- I will make all attempts necessary to be available to attend monthly training sessions and periodic social gatherings to support the enrichment of my Little Sister and fellow Sister Friends.
3. Confidentiality. I commit to maintaining the confidence entrusted to me by the Project, fellow Sister Friends, and my Little Sister by:
- Holding information in strict confidence.
- Keeping information and/or property entrusted to my possession in a secure location.
- Making all attempts to never disclose information to those who do not have a need to know.
Acknowledgement
(Required)
I agree to the Commitment Statement.
Signature:
(Required)
Date:
(Required)
MM slash DD slash YYYY
SECURITY
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