If you would like to help out at a Mom’s House
®, please complete the following form. Be sure to indicate whether you would be a Foster Grandparent or a volunteer. Also, indicate the location where you would be interested in working.

On behalf of our kids and single parents, thank you!

First Name:
Last Name:
E-Mail Address:
Phone: () -
Address:
Address Line 2:
City:
State:
Zip:
Type of assistance:
I would like to assist at:
Provide any additional information here:


Mom’s House® provides safe, secure, and free childcare to low-income single parents wishing to continue their education.
For information, call: (814) 535-4848 or e-mail information@momshouse.org



Copyright © 2005 Mom's House®, Inc.
Site Designed by Hurst Media Works, KH2 Design and Recharge Web Design