2021-2022 STAR Membership Application

Thank you for your interest in the STAR (Students Tackle Abusive Relationships) auxiliary at Genesis Women's Shelter & Support! Please feel free to share this application with friends and prospective members who may be interested in joining the program.

Please submit your application by Monday, September 20, 2021. The program will begin this fall. Students will be invited to participate in volunteer opportunities at the Genesis shelter, attend educational meetings, organize donation drives and brainstorm creative ways to engage their peers in our work. Students may apply this toward any service hours required for school or another organization.

If you have any questions, please contact Elizabeth Corley, Director of Community Engagement, at 214-389-7714 or ecorley@genesisshelter.org.

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* 1. Please provide the following information.

First and last name

Address

City

State

Zip code

School

Grade in 2021-2022 school year

Preferred email

Preferred phone

Birthday

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* 2. Please provide your parent's contact information for us to keep on file in case of emergency.

Parent's name

Address

City

State

Zip code

Cell phone

Work phone

Email

Company/occupation

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* 3. Please share why you would like to join the STAR auxiliary and what strengths you would bring to the group.

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* 4. If you have any ideas or suggestions regarding volunteer opportunities or fundraisers, please share those here!