Volunteer Application Volunteer Name First Last Pronouns Preferred PhoneEmail Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Hours AvailablePlease 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? Board of Directors Committees Event planning Administrative Support Bulk Mailings Collection/Organization of Info Communications/Media Data Entry Donation Collection Fundraising Other 8 Hours/Month?**Can you commit at least 8 hours/month to help with Administrative needs? No Yes OtherPlease 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. EmailThis field is for validation purposes and should be left unchanged.