Volunteer Application - RESPOND Inc.

Comments

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Name

First Last

Pronouns

Preferred Phone

Email

Mailing Address

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

Hours Available

Please specify how many hours per week/month, days of week, times of day you will be available.

Class or Credit?

Is this volunteer experience for a class or credit?

No
Yes

DIRECT SERVICE OPPORTUNITIES (Requires 25 hours of training)?:

What kinds of volunteer opportunities are you interested in? Please check all that apply:

24 Hour Hotline
Advocacy/Case Management
Childcare
Court Accompaniment
Support Group
Other

**4 Hours/Month?

Can you commit at least 4 hours/month to volunteer with Direct Service?

No
Yes

ADMINISTRATIVE (Does not require 25 hours of training):

Do you wish to volunteer administrative services?

8 Hours/Month?

**Can you commit at least 8 hours/month to help with Administrative needs?

No
Yes

Other

Please list any skills, hobbies or interest that you have and would be willing to volunteer.

How did you hear about RESPOND, Inc.?

Were you referred? And if so, by whom?

Why would you like to volunteer at RESPOND, Inc.?

Do you have any prior training related to domestic violence? If so, please describe.

Why do you think domestic violence/abuse occurs?

Why do people stay in abusive situations?

How do you define domestic violence?

Please give a brief description of your current position or an overview of your skills and how they will assist you in working with survivors of abuse?

How would you feel about volunteering at a confidential location where no one can know where you are?

Describe your time management skills and your ability to multi-task.

Please describe your experience working with people from diverse backgrounds and issues.

Is there anything else you would like us to know about you?

Have you previously volunteered for any other agencies?

No
Yes

Please list any agencies you have previously volunteered for:

What was your role as a volunteer?

What did you find most rewarding/valuable about these experiences?

What did you find most challenging about these experiences?

Is there anything you wish you could change about these experiences?

ACKNOWLEDGEMENT*

All of the information that I have given is truthful and accurate to the best of my knowledge. I understand that if information is falsified that my volunteer application may not be accepted or may result in termination of my involvement at RESPOND, Inc.