Contact Us

Use the form on the right to contact the Fresh Start Caring For Kids Foundation if you have questions about the website, donating, medical services, applying for help or volunteering. We appreciate your feedback!

444 E Algonquin Rd
Arlington Heights, IL, 60005
United States

844-374-5437

Fresh Start Caring For Kids Foundation provides no-cost medical treatment to children with physical deformities through the gift of reconstructive surgery and related medical care.

Volunteer Application Form

Volunteer for Fresh Start Caring For Kids Foundation. Medical professionals are needed as well as people who just want to help out these deserving children.

Name *
Name
Address *
Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Are you a Medical Professional? Identify your credentials:
Academic Year:
Work Phone:
Work Phone:
Work Phone:
Work Phone:
Please mark your area(s) of qualification(s). Check all that apply.
Health Background: Are there any health-related issues that may limit your ability to volunteer?
Electronic Signature: By checking 'yes' below I certify that all information stated in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration as a volunteer and may result in my immediate dismissal if discovered at a later date. I authorize and release personal references, employers (past and present), and if necessary, otehr applicable entities to answer questions in regards to my volunteer work, employment, ability, character, medical and emotional background and, if applicable, driving history. *
Date *
Date