Yes, I Would Like to Become a Safe Harbor Volunteer

Print & Mail this Form to: Safe Harbor Child Access Centers PO Box 475, Bloomsbury, NJ 08804
or Copy and Email this Form to epurasson@gosafeharbor.org, and/or Call (908) 268-4284

Your Name:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Street Address, City & Zip:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Telephone:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Email Address: __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

How To You Prefer to Be Contacted: Email or Telephone? __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Preferred Volunteering Location: Passaic, Somerset/Middlesex, Other___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I Am Interested in Volunteering for the Following Areas (Please check as many as apply to your situation):

[ ] 1. Child Access Center Supervised Access Monitor: Observes parents/ guardians/ grandparents and children during a two-hour visit, ensuring the children's safety. The monitor is required to observe for the duration of the visit. Prepares report to the court summarizing observations made. Monitors are screened and trained.

[ ] 2. Child Access Center Monitored Exchange Specialist: Registers parents/guardians/ grandparents during the exchange of children for their weekend parenting time. Transfers the child from one parent to the other, frequently with no contact between the parents. Prepares reports to the court summarizing observations made. Exchange Specialists are screened and trained.

[ ] 3. Child Access Security Specialist: Monitors the parking lot to ensure that parents/guardians/grandparents report to the registration desk in timely fashion, and that there are no verbal or physical interactions at the parking lot or at the center. If needed, manage security issues, and contact local law enforcement. Security Specialists are screened and trained

[ ] 4. Child Access Registration Desk Manager: As parents enter the child access center, the Registration Desk Manager will perform intake for the first visit, and will also register each parent entering the center. Desk Managers are screened and trained.

[ ] 5. Clerical/Administrative Specialist: The Clerical/Administrative Specialist processed visitation/exchange orders from the court, coordinating with the parents/guardians/grandparents to schedule visits. The Clerical/Administrative Specialist will also prepare monthly reports to the Court summarizing the status of open orders. Clerical/Administrative Specialists are trained.

[ ] 6. Fund Raising Development Administrator: The Fund Raising Development Administrator will assist in developing fund raising programs including direct mail campaigns, to help fund Safe Harbor Child Access Services programs. Fund Raising Development Administrators are trained.

[ ] 7. Other: If there is another area where you can provide volunteer services that is not described above, we welcome your thoughts.  Please let us know what other areas you can provide assistance:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _