Volunteer Assessment

All Family Beacon volunteers must complete this assessment. Please identify the appropriate role(s) for which you have applied.

Volunteer 1:


Family History:

Which has occurred in your family of origin?










Volunteer 2:


Family History:

Which has occurred in your family of origin?










Marriage

Previous Marriage(s) (if applicable)



Current Marriage (if applicable)




Current Marriage (if applicable)

Values & Beliefs

Other Issues

Volunteer 1:

















Volunteer 2: (if applicable)






























Terms of Acceptance and Signature

Volunteer 1:



Volunteer 2: