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DVP Volunteer Application
When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.
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1.
First and Last Name
(Required.)
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2.
Primary Phone Number
(Required.)
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3.
Address
(Required.)
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4.
City, State, Zipcode
(Required.)
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5.
Email Address
(Required.)
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6.
Are you over 21 years of age?
(Required.)
Yes
No
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7.
When is you birthday? (month and day only)
(Required.)
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8.
Do you have a valid driver's license?
(Required.)
Yes
No
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9.
Will you have access to a car during the shifts you sign up for?
(Required.)
Yes
No
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10.
Do you acknowledge that in order to be considered as a volunteer, you would need to complete and pass at least 40 hours of training if selected?
(Required.)
Yes
No
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11.
How did you hear about our program?
(Required.)
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12.
Why would you like to volunteer for the Domestic Violence Program?
(Required.)
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13.
Would you be comfortable taking calls in the overnight hours?
(Required.)
Yes
No
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14.
Briefly state what you believe to be your strengths and weaknesses in volunteering with the Domestic Violence Program.
(Required.)
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15.
If you could say two sentences to a survivor of domestic or/and sexual violence, what would you say to them?
(Required.)
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16.
Current Employer
(Required.)
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17.
Employment Address
(Required.)
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18.
Job Title/Duties
(Required.)
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19.
Do you have previous experience or training that may relate to the population with which hotline volunteers will work? If not, that’s ok!
(Required.)
Yes
No
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20.
If you selected ‘yes’ in the previous question, please briefly explain. If you do not have experience, simply leave the form blank or write N/A.
(Required.)
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21.
Please describe any previous volunteer experience. If you do not have experience, simply leave the form blank or write N/A.
(Required.)
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22.
Reference 1 (not family related). Name, relationship, phone number, and email address.
(Required.)
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23.
Reference 2 (not family related). Name, relationship, phone number and email address.
(Required.)
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24.
I certify that this information is true to the best of my knowledge.
(Required.)
Yes
No
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25.
E-Signature and Date
(Required.)
Send me a copy of my responses via email
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