CSAPSL Application Questionnaire

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Please enter your full name:

1. What gender do you identify as?

Womyn

Man

Transgender

Transsexual

Other:

Clear selection

2. What year of study are you at Carleton University?

1st

2nd

3rd

4th

Other:

Clear selection

3. Are you able to make a six month commitment to the volunteer helpline? This excludes summer months (May-August). For example if you become certified in March, you have to be able to commit March, April, September, October, November, and December.

Yes

Clear selection

4. Have you sought any form of treatment/ counselling for sexual assault/ harassment in the past year?

Yes

Clear selection

5. Are you able to commit to at least one shift (four hours) per week?

Yes

Clear selection

6. Are you willing to commit to four days of five hour training which is mandatory for this position (dates will be posted after questionnaire submission)

Yes

Clear selection

7. Do you have any previous training/ experience with peer support?

Type "Yes" or "No". If "Yes", please elaborate.

For the following questions please choose which point is most applicable to you, your beliefs, or which one you believe is correct.

8. Some people who call our helpline identify as transgender/ transsexual.

This makes me uncomfortable

I accept this, but have no knowledge of the culture or how to talk to them

I accept and know about the culture through outside experiences

I accept and am a part of this culture

Clear selection

9. Some people who call our helpline are hysterical and/ or very upset.

This makes me uncomfortable

I wouldn’t know what to say

I would get their mind off their situation by relating it to one of my experiences

I would ask them questions to see what the problem is

Clear selection

10. Some people who call describe their experience in graphic detail.

This makes me uncomfortable

This would (or potentially would) trigger me from my past experiences

I would not know what to say

I believe I would know what to say

I have previous training in talking to people about this

Clear selection

11. Some people who call have been assaulted by the same gender or are males assaulted by females

I would be hesitant to believe them

I would be uncomfortable hearing this

I would have less of an understanding for the situation

I would accept the situation

Clear selection

12. The person I am talking to keeps changing their story throughout the call

I would think they were lying

I would call them out on lying

I would try and end the call since I do not take them seriously

I would believe them

Clear selection

13. In the middle of the call the survivor starts having a panic attack

I would keep walking them through their experience to try and figure out what is triggering them

I would stop talking and wait for them to stop

I would change the subject and get their mind off their trigger

I would talk them through the panic attack and try and calm them

Clear selection

14. Feminism

Is an excuse for womyn to get what they want

Is a radical movement run by womyn who take it too far

Has got us this far but the patriarchy is over

Is an ongoing movement that fights for gender equality

Clear selection

15. I am interested in this volunteer position

To add to my resume

I am a survivor myself

I just want to make a difference

I want to save people

Clear selection

16. Which is the most important trait to have for this position?

Positivity

Neutrality

Empathy

Sympathy

Hope

Confidence

Pity

Patience

Clear selection

What is your email?

What is your student number?

Submit

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