212 McGee Road Anderson, SC 29625
Family Support Staff
Join The Team
Address Line 2
State / Province / Region
ZIP / Postal Code
Are you 18 years of age or older? If "NO" a permission form needs to be filled out by parent or legal guardian.
Is there a particular time you prefer to volunteer?
How would you most like to partner with ACDSNB?
Work with Individuals
Do you have any experience with with individuals with disabilities?
Have you ever been employed with ACDSNB?
If "yes" please list the last position held at ACDSNB and the dates you were employed.
Have you ever been convicted of any violation of law (not including traffic tickets)?
If "yes" please provide conviction dates, type of crime and disposition. (Note: a conviction or "yes" response may not necessarily disqualify you)
I will abide by the mission, rules and regulations of Anderson County DSN Board, including health and safety procedures in relation to staff, individuals, and other volunteers.
Signature (please type full name)
Date Format: MM slash DD slash YYYY