Volunteer Form

Basket Delivery Parent

Basket Delivery Parents (BDPs) are the face of Jack’s Basket with families. They are critical to our mission to ensure that every new and expectant parent is provided resources and avenues of support within the community; from one parent to another. The approximate time commitment expected of a Basket Delivery Parent is an average of 4 hours per month.

Qualifications

• A parent of a child with Down syndrome ideally between the ages of 6 months and 10 years

• Aligned with the mission of Jack’s Basket

•Empathetic and able to communicate with families from diverse backgrounds and experiences, meeting them “where they are” on their new journey as parents

• Prepared to share their own experience as a parent of a child with Down syndrome

• Willing to drive distances of up to 30 miles (or 45 minutes)

• Able to communicate in a timely manner to parents and HQ

• Commitment to Jack’s Basket Statement of Support and Confidentiality

Key Responsibilities

• Respond within 6 hours to confirm availability when made aware of a new basket request needing a parent connection

• Connect with family on a basket request via call, text, or in-person basket delivery

• Follow Jack’s Basket guidelines when meeting or connecting with a family

• Confirm when a connection is complete, including sending photos along with any feedback, per guidelines

• Reconnect with families you have met a couple of times, such as 3 months, 6 months, and 12 months later or during major milestones, surgery, etc

• Keep track of your basket inventory on hand. Store and transport baskets in clean, stable, and safe conditions

• Attend at least one annual training session per year

• Active participation in annual Jack’s Basket events is encouraged

Basket Delivery Parent Application Form

Applications are OPEN! We will begin interviewing in Fall 2023.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

What language(s) do you speak?(Required)

What are three words that describe you?(Required)

Who, if anyone, referred you to be a Jack's Basket Parent volunteer?

Your child's name(Required)

First Last

Your child's birthdate(Required)

Has your child had a heart surgery?

Yes

Was the diagnosis given at birth or prenatally?(Required)

Birth diagnosis

Prenatal diagnosis

What was your experience when your child was diagnosed with Down syndrome? Share your story:(Required)

What other details of your child's diagnosis would help you relate to other parents?

Additional health concerns, stay in the NICU, etc.

Why do you want to be a Regional Lead Parent for Jack's Basket?(Required)

What skills or experience do you have that you feel would be useful in communicating with medical professionals regarding the Down syndrome diagnosis and Jack's Basket programming?(Required)

Did you receive a Jack's Basket?(Required)

Yes

Please provide the names and emails of at least two personal or professional references. Our team will be in contact them during your application process.

Reference #1(Required)

First Last

Relationship

Reference #2(Required)

First Last

Relationship

Reference #3(Required)

First Last

Relationship