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: