Department of Social Services 
Mentor/Volunteer Registration
     

Thank you for your interest in learning more about the DSS mentor/volunteer programs.  Please check the appropriate box beside the program(s) you are in which you would like to have more information. 

Our Program staff will respond via email or phone with additional information.

Your Email:
 *
First Name:
 *
Last Name:
 *
Day Phone #:
 *
Mobile Phone #
 
Address:
 *
City:
 *
State:
 *
Zip:
 *
Date of Birth:
 *
Check if interested in Big Sib
Check if interested in Friendly Visitor
Check if interested in LINKS
I understand that all DSS volunteers must undergo a background/driving record check and I will be responsible for providing complete information and cost.
Verification Code:
Insert above code:
 * Required


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