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40-Hour Volunteer Crisis Line Advocacy Application
*
Indicates required field
Name
*
First
Last
Date of Birth (MM/DD/YYYY)
*
Email
*
Evening Phone
*
Daytime Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
What is your interest in training to become a sexual assault/domestic violence advocate?
*
Describe some of your life, educational, and/or work experiences that may be helpful in your work as a sexual assault/domestic violence advocate.
*
What qualities, expertise, and other skills do you have that may be helpful in your work as a sexual assault/domestic violence advocate. What do you feel are your strongest assets?
*
Have you been involved with any other volunteer organizations? Please list organizations, dates, general duties, and name of supervisor.
*
Are you a victim/survivor of sexual assault or child sexual abuse? (If yes, when did the assault or abuse happen? Did you seek counseling and/or other support services?)
*
Have you ever perpetrated any form of sexual abuse, harassment or assault?
*
Can you commit to attend all of the training session?
*
Yes
No
Can you commit to attend monthly volunteer meetings?
*
Yes
No
Can you make a one-year commitment to volunteering?
*
Yes
No
(i.e. rotating shifts with the Crisis Line phone.)
Do you have a valid driver's license?
*
Yes
No
Do you have reliable transportation?
*
Yes
No
If yes, then you will need to provide proof of insurance on your vehicle.
How did you learn about the 40-Hour Volunteer Advocacy Training?
*
Is there anything else you would like to tell us?
*
Please list three references below:
Reference One:
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Reference Two:
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Reference Three:
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
By hitting the submit button below, you are saying that the above information is correct to the best of your knowledge, and you are applying to be a part of the 40-Hour Crisis Line Volunteer Advocacy Training sessions.
Submit Application
About Us
Mission, Vision, & Values
Services
Resources
Board of Directors
Staff
Our Supporters
Contact Us
Victim Services Survey
Quick Escape!
Donate
Sexual Assault
Information
Healing & Growth
Myths & Facts
Downloads & Printouts
Domestic Violence
Emotional Abuse
Support Group
Domestic Violence Assessment
Downloads & Printouts
Youth
>
TADA Teen Program
TADA Application
Safe Dates
Community Closet
Volunteer
Internship Program
Pearl Office Volunteers
>
Pearl Office Volunteer Application
40-Hour Crisis Line Volunteers
>
40-Hour Crisis Line Volunteer Application
Community Closet Volunteers
>
Community Closet Adult Application
Community Closet Youth Application
Events
Spring Fashion Show & Business Expo
Past Events
2012 Fashion Show Photo Gallery
2013 Fashion Show Photo Gallery
2014 Fashion Show Photo Gallery
2015 Run for Their Lives Photo Gallery
2016 Fashion Show Photo Gallery
2018 Fashion Show Photo Gallery
2019 Fashion Show Photo Gallery
The Daring Way Group
The Rising Strong Group
COVID 19 REOPENING PLANS