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Confidentiality Form

If you are volunteering as part of a group, please fill out this confidentiality form prior to your volunteering date.

Prefix
First Name
Middle Initial/Name
Last Name
Country
Address Line 1
City
State
Postal Code
/
/

Due to the nature of our work and the need to protect the safety and confidentiality of our clients, we expect all staff and volunteers to follow our Ethical Standards and Core Values. Please click the link below to read these guidelines and then check the box on the form to indicate your agreement to abide by them.

ETHICAL STANDARDS:
CONFIDENTIALITY STATEMENT:
LIABILITY RELEASE:
PHOTO/MEDIA RELEASE:
DIVERSITY STATEMENT:

The checked boxes above and my signature below constitute my understanding and acceptance of these policies set forth by the FBWC.

This box must be checked in order for your application to be processed.

2020 Impact

  • Crisis Hotline Calls

    4,692

  • Survivors and Children Served

    1758

  • Clients Receiving Emergency Shelter

    328

  • Counseling Hours Provided

    6,791

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