Sidelines National Support Network / Volunteer / Become a volunteer

Become A Sidelines Volunteer

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If you are considering volunteering for Sidelines, please read through the next 3 pages and fill out the form on the last page. It is VERY important that you read the information on these pages to determine if you are ready to volunteer for Sidelines.

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Sidelines Needs Volunteers!

Sidelines needs you! If you have experienced a complicated pregnancy, and are interested in helping others, you can become a Sidelines volunteer. Let us know of your interest through an online volunteer application. Once your application has been approved, we will send you a Sidelines volunteer training packet in the mail. You can train to be a Sidelines volunteer in the comfort of your own home!

Prerequisites For Becoming A Sidelines Volunteer

Many women ask...can anyone who has been pregnant become a Sidelines volunteer? We base our support network on volunteers that have been through a complicated pregnancy that may or may not have included bedrest.

To qualify, answer the following questions:

1) Have you experienced a high-risk or complicated pregnancy?
2) Are you willing to help others in a similar situation?
3) Do you have the ability to support moms via email or phone?

If you answered yes to all three, then you qualify to become a Sidelines Volunteer!

What Does A Sidelines Volunteer Do?

Volunteers offer support and understanding to women and their families expericncing a high-risk or complicated pregnancy.

Volunteers do not give medical advice! They supprt the Moms and their families emotionally and encourage them to have their medical questions answered by their health care provider.

Sidelines encourages complicance with Dr.'s orders. We are team players, confidential, and dedicated!

How Are Sidelines Volunteers Trained?

We train all of our Sidelines Volunteers through a uniuqe on-line system that allows you to train at your own pace and print our materials for future use.

Once you have finished your training, we will need you ro return the forms you are requested to fill out.

Special Note!

Once we receive your application, you must send us a copy of a valid driver's license before you can begin your training. You can send this as an attachment when you reply to the email you receive from our Training Coordinator. The copy can also be either mailed or faxed to the Training Coordinator. If your Social Security Number shows on your driver's license, please darken it before sending the copy to Sidelines.

Sidelines

Prospective Volunteer Application Form

Directions: Please fill out the following form if you want to be an email or phone volunteer for Sidelines. This information is kept confidential and will be used in helping us to match you with future high-risk moms you support.

If you have not had a reply to your application in 5 business days, please email: Kim Wolverton, Training Coordinator.

Application:

Did you read through our “How To Become a Sidelines Volunteer” web pages to determine if you are ready to volunteer, and do you feel that you are ready to do so?
yes no

Are you currently pregnant?
yes no

Have you been formally trained by Sidelines before?
yes no

If yes, please indicate year, state and by whom you were trained:

Your name (first and last, please, not your screen name):

Email address(take care to type this in correctly):

Home phone:

Best time to call:

Date of birth:

Address:

City:

State or Province?:

Zip Code:

Country

Web site (if you have one) : http://

How did you find out about Sidelines?

If you used Sidelines during one of your high-risk pregnancies and had a personal support person, please list the volunteer's name that supported you:

Was the support from her by email phone or both?
email phone both

Did the volunteer provide support as you needed during your high-risk pregnancy?
Please explain.

Why do you want to be a volunteer for Sidelines?

Would you prefer to provide support by: Email Telephone Both

If you are going to participate as a phone volunteer, do you have a cell phone or calling plan that allows:

Unlimited long distance at no additional charge to you
Unlimited long distance on a cell phone
A calling plan that allows unlimited calls to other members of the same calling plan
I would like to give phone support, but I can't pay for long distance phone charges.

Telephone

If you are going to be an email volunteer, do you have
regular, ongoing access to the Internet? yes no
Is your email at home only?
Email at work only?
Email at home and work
Do you answer your emails quickly (no more than 48 hours after receipt)? yes no

Your Occupation:
Spouse/Significant other’s name:

Please list for each child: Name, Date of Birth, Gestation, Birth weight, Supported by
Sidelines?(y/n)

Complications In Pregnancy
Please check all that apply to your high-risk pregnancy (ies).

Age Factor

Auto Immune Disorder
Type of auto immune disorder

Bleeding
Bleeding at what gestation? wks

Blood disease

Cervical change
Cervical surgery (LEEP, coninazation)
Chronic illness
DES Daughter
DVT or PVT
Fetal problems
Type of fetal problems

Gall bladder problems (surgery? )
Gestational Diabetes
Chronic Diabetes Type 12
Group B Strep
HELLP Syndrome
Hyperemesis
Hypertension (pregnancy induced)
Hypertension, chronic
Incompetent Cervix
Infection
IUGR (intrauterine growth restriction)
Large family
Marital problems
Military
Multiple gestation
How many?

Monoamniotic twins
TTTS (twin to twin transfusion syndrome)
Polyhydramnios
Oligohydramnios
Placenta Accreta, Increta or Percreta
Placenta Previa
Placental Abruption
Began at what gestation? wks

Preterm labor
Began at what gestation? wks

Pre-eclampsia
Began at what gestation? wks

Prior infertility
In Vitro assisted reproduction
PROM (premature rupture of membranes)
Pruritis Gravidarum (itching)
Subchorionic Hemorrhage
Uterine abnormality (bicornate, heart shaped, prolapsed...)
Uterine fibroids
Uterine irritability
Vaginal disease or infection

Preemie delivery
Gestation at wks

NICU baby
Length of NICU stay? wks

Post Partum Depression
Miscarriage
Gestation at miscarriage? wks

Loss
Gestation at loss wks

Stillbirth
Gestation at stillbirth wks

Other pregnancy complications

Treatments in Pregnancy:

Tests and Procedures

Amniocentesis
Rapid Amnio (AneuVysion 24 hr. Assay)
fFN (Fetal Fibronectin)
HUAM (Home Uterine Activity Monitor)
Cerclage at wks Type?
Selective reduction

Bedrest

Modified bedrest: #of weeks
Complete bedrest: # of weeks
Hospitalized: # of days
Trendelenburg position

Medications/Tocolytics

Aldomet
Antibiotic
Aspirin
Atosiban
Heparin
Heparin Pump
Indocin
IV Hydration Therapy
Labetalol
Magnesium sulfate IV
Niphedipine
Porcardia
Progesterone
Reglan
Steroids
Oral Terbutaline
Terbutaline Pump
Terbutaline Injections
Zofran

Other Medications

Other Treatments

Please give us a brief description synopsis of each of your pregnancies:

Special areas of interest or expertise:

Any area you do not feel comfortable dealing with?

Additional comments:

Applications are processed on an ongoing basis. The Sidelines Training Coordinator will contact you as soon as possible after receipt of this application. The more complete your application, the more likely we can begin your volunteer opportunity!

Submit/Clear Form Note: when you click "submit", your information is automatically sent to Sidelines via email.
If you have problems using this form, email us with this information.

Answers to your questions and insight into all that`s taking place in your body as well as that of your baby.