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Monarch Services Volunteer Application

Thank you for your interest in becoming a volunteer with Monarch Services! Volunteers are a huge part of what we do and we are very thankful for them! Please note that all information provided on this application is considered confidential. However, this is an online application form and Monarch Services is subject to the limitations of the software, Google Survey, that is hosting this application form. If you prefer to complete a PDF version of this application, please email nancya@monarchscc.org for the PDF version.

Who We Are
Monarch Services is a nonprofit based in Santa Cruz County offering services to survivors of domestic violence, sexual assault & human trafficking. We offer immediate crisis response to victims of domestic violence and sexual assault through our 24-hour crisis line, including emergency response to law enforcement or medical facilities, and accompaniment to forensic rape examinations.

Support services include emergency shelter for survivors of domestic violence or sexual assault and their children, peer counseling, advocacy, information, referrals, drop-in support groups, and assistance with restraining order applications. We also provide community education presentations to schools, community groups and service providers.

Our Values
Monarch Services’ is committed to serving everyone in our community, with a special commitment to women, youth, children, Latinas and other under served groups.

We honor and value the uniqueness of each individual and will treat each person with dignity and respect.

We are committed to working together with respect, trust, integrity, accountability and mutual support. We are committed to communicating openly, honestly and responsibly.

We value our staff, volunteer and Board commitment to our clients, to quality services and to social change.

We are committed to serving as leaders for social change for the benefit of the community through advocacy, shaping policy and collaborating with community partners.

For more details about Monarch Services visit www.monarchscc.org

Volunteer Options
-Crisis Line Volunteer: Provide peer counseling and referrals to callers.*
-Volunteer Court Advocate: Accompany clients to court.*
-Support Group Volunteer: Co-facilitate or facilitate support groups for survivors of domestic violence and/or sexual assault.*
-Children/Youth Support Group Volunteer: Co-facilitate support group for child, youth or teen witnesses of domestic violence.*
-Program Volunteer: Provide client services in the Shelter, Crisis Intervention or Children and Youth Programs.*
-Community Education Volunteer: Assist with presentations and outreach events about domestic violence, sexual assault and agency services.
-Awareness Months (Sexual Assault-April; Domestic Violence-October): Assist with special awareness activities.


Volunteer Requirements
-Completion of a 65-Hour State Certified Peer Counselor Training*
-A commitment to social justice & eliminating sexual assault and domestic violence
-Must complete criminal background check though LiveScan fingerprinting system
-Complete a two day training
-Attend monthly volunteer meetings
-At least 18 years-old **
-Commitment of volunteer service for at least a year

65 Hour Peer Counselor Volunteer Training*
-This is required to volunteer directly with clients. We currently do not have the dates of the next training, however, feel free to complete the application and you will be contacted for the next training.

**If you are not able to attend the 65-Hour Training or are under the age of 18, volunteer opportunities are available. Please indicate so in the application below.


* Required

Name *
First and last name
Your answer
Address *
Your answer
City *
Your answer
Zip code *
Your answer
Phone number *
Your answer
Email *
Your answer
Are you 18 or older? *
If yes, are you interested in taking the 65-Hour Peer Counselor Training? (see description at the top for more details) *
Are you currently employed *
If yes, where are you employed?
Your answer
May we contact your employer as a reference
If yes, please include your supervisor's name and phone?
Your answer
What is your highest level of education completed?
Primary Language
Do you know any other languages? Note: include level of knowledge, ie. conversational, fluent, etc.
Your answer
How did you hear about Monarch Services? *
Your answer
Volunteer Opportunities: Please place 1, 2, 3, 4, 5 in order of preference *
Option 1
Option 2
Option 3
Option 4
Option 5
Sexual Assault /Domestic Violence Advocate
Assist with Restraining Orders
Accompany Clients to Court
Co-Facilitate Children Support Groups
Co-Facilitate Adult DV Support Groups
Volunteer Opportunities: Please place 1, 2, 3, 4, 5 in order of preference *
Option 1
Option 2
Option 3
Option 4
Option 5
Administrative Assistant
Fund Development Assistant
Prevention Program/Presentation Assitant
Community Awareness Event Assistant
On-Call (Crisis Line)
Have you perpetuated any form of domestic violence, human trafficking or sexual assault? *
Have you ever been convicted of a felony? Note: all volunteers are required to pass a department of justice background check *
If yes, please explain
Your answer
What knowledge do you have of sexual abuse, domestic violence & human trafficking? *
Your answer
Have you ever been a client of Monarch Services or a similar agency? *
The work we do can be very emotionally challenging and triggering. Do you feel you have the skills necessary to do the work well and take care of yourself? *
Please describe any volunteer/internship experience you may have. *
Your answer
Please provide the name and email address of two references and their relationship to you. *
Your answer
What qualities (from work, school, personal life) do you have that you think may be helpful in working as a peer counselor for survivors of domestic violence, sexual assault & human trafficking? * *
Your answer
Please read and initial under each of the following agreements:
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for volunteering and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure a volunteer position shall be grounds for rejection of this application or for immediate discharge if I have been selected to volunteer, regardless of the time elapsed before discovery. *
Your answer
I hereby authorize Monarch Services to thoroughly investigate my references, work record, education, criminal record, and other matters related to my suitability for a volunteer position and, further, authorize the references I have listed to disclose to Monarch Services any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Monarch Services, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. *
Your answer
I understand that nothing contained in the application, or conveyed during any interview which may be granted or, if hired, during my volunteer experience at Monarch Services, is intended to create a volunteer contract between Monarch Services and me. In addition, I understand and agree that if I am selected as a volunteer, my volunteer tenure is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or , Monarch Services and that no promises or representations contrary to the foregoing are binding on me or Monarch Services unless made in writing and signed by me and the Monarch Services designated representative. *
Your answer
Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted or obtained by Monarch Services , I may be entitled by law to copies of any such public records obtained by Monarch Services unless I mark the check box below. If I am not hired as a result of such information, I may be entitled to a copy of any such records even though I have signed below. *
Your answer
I waive receipt of a copy of any public record described in the paragraph above *
Your answer
I promise to keep all identifying information about Monarch Services clients, volunteers and staff completely confidential at all times. I promise not to give any information that might identify a client, volunteer or staff member to anyone outside the agency, unless given permission to do so. I understand that all client communications are completely confidential, and I will not even acknowledge that anyone is a client of the agency to persons outside the agency, including law enforcement, without the client’s written permission. I understand that disclosing the location of a confidential emergency shelter for domestic violence victims is a misdemeanor under California Penal Code 273.7. I understand that these policies are in place to protect the safety and privacy of clients, volunteers and staff of Monarch Services *
Your answer
I understand that I am not considered an employee at Monarch Services while performing volunteer work for the organization.I further understand that as a volunteer, I am not covered by Worker’s Compensation Insurance for injury that may occur while I am acting as a volunteer *
Your answer
I understand the following technology policy: The purpose of this policy is to provide clear guidelines for the appropriate use of agency computers, e-mail, internet, printers, copiers and other forms of technology. All references to Users in the context of this policy are assumed to include employees, contractors, volunteers, interns and others when they are using agency-provided electronic technology. 1. Approval for the establishment of e-mail, the Internet, and network services and/or other electronic resources shall lie with the Executive Director and the Administrative Services Manager. All agency computers, electronic media, and other related technologies such as printers and copiers are provided to Users as tools for the conduct of Agency business only. 2. The Administrative Services Manager (ASM) has primary responsibility for the installation, management, and support for all electronic resources. All electronic equipment, maintenance, additions, moves, changes, and repairs will be coordinated by the Administrative Coordinator. To maintain agency confidentiality, the ASM/AC will destroy all information stored on the equipment being removed from service. 3. Programs are responsible for providing training for agency employees in the use of computing and printing resources. The ASM will work with departments to identify and coordinate resource training. 4. All data, messages, and information stored on electronic media provided by the agency belong to the agency. The agency reserves the right to access and disclose all such stored information for any purpose. The agency also reserves the right to monitor all traffic on the network and to modify and/or restrict access if necessary to assure that the network continues to function properly for all users. 5. Personal use of agency-provided computers, software, printers, copiers, email accounts and/or internet service is prohibited. The use of agency technology for personal profit or gain, or any other for-profit activity is prohibited. 6. No User shall change, share, delete, damage, infect, reconfigure or destroy any Agency computer system, computer network, computer program, or data. Users shall not load any software onto any agency computer unless directed to do so by the ASM. 7. Users shall respect the legal protection provided to programs, documents, and data by copyrights and licenses. Users may not copy agency-owned or licensed software or data to a non-agency computer system. 8. Employees are responsible for the proper care and handling of their computer and related equipment. Problems with computer hardware and software that are not easily remedied by the user should be reported to the ASM immediately. 9. Users are responsible for understanding and exercising reasonable security precautions when using computing resources. This includes, but is not limited to knowing, using, and preservingthe secrecy of user codes and passwords, logging off systems when finished working, and using care when opening email or other files from unknown sources. 10. All Users will provide their computer passwords to their immediate supervisor and the ASM. Printer/Photocopier codes will be issued to regular employees as appropriate. 11. Users shall not circumvent established procedures defining eligibility and/or authorization for access to electronic information. Conduct that involves misuse of computer identities includes allowing an unauthorized individual to use a login or password or misrepresenting one’s identity to gain access to information or computing resources. 12. Every effort will be made to provide each regular employee with an agency e-mail address. Addresses from outside service providers are prohibited for intra-agency communications since agency communications are considered confidential. 13. The ASM will establish standards for the retention and purging of all electronic mail communications. The Agency reserves the right to purge email communications when Users do not meet standards. 14. Confidential information should never be transmitted to individuals or entities not authorized to receive that information. Users must exercise a great degree of caution when transmitting confidential information on the e-mail system because of the ease with which such information may be intercepted. *
Your answer
To comply with the enactment of the Drug-Free Workplace Act, Monarch Services accordingly provides this statement of compliance: To maintain funding eligibility, state agencies, along with those in receipt of grant and contractual awards, must certify that they provide drug-free workplaces and have issued drug-free workplace statements to their employee. Consequently, by this directive, this statement is issued to meet this requirement. Monarch Services, an agency within the state of California has adopted this statement in compliance with legislation that addresses issues to avoid the dangers arising from drug and alcohol abuse in the workplace. These dangers include death and injury to the employee, coworkers, or the public resulting from accidents, dereliction of duty, poor judgment and carelessness. Substance abuse also results in lost productivity, reduced efficiency, and increased absenteeism by the substance abuser and interferes with the job performance of employees who do not use illegal or unauthorized substances.California law prohibits the unlawful manufacture, dispensation, possession, or illegal use of a controlled substance. That prohibition extends to all places and includes the work sites of California State and sub grantee employees. Employee convictions for violation of criminal drug statutes occurring at Monarch Services work site or offsite events will be reported to the granting and monitoring State agency. In the event of the unlawful manufacture, distribution, dispensation, possession or illegal use of a controlled substance at the Monarch Services work site or off-site event, the agency may require the satisfactory completion of substance abuse assistance or rehabilitation program and/or take disciplinary action up to and including dismissal.Confidential substance abuse assessment and referral to appropriate counseling and rehabilitation services are available to all agency employees. Contact the Monarch Services Human Resources department four further information.It is the intent of Monarch Services to ensure by execution of this statement of compliance that each volunteer/intern shall abide by the terms of this drug-free workplace statement. *
Your answer
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