Renewal House Volunteer Application

Email address *
First Name *
Your answer
Last Name *
Your answer
Telephone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Are you applying for a Volunteer Position or Internship?
New Advocate Training
In order to volunteer, the full 30-hour New Advocate Training is required.

Tentative Dates:

February 2018


Can you attend these dates?
If no, explanation:
Your answer
Volunteer Preferences and Availability
Area of Interest *
Below are the positions we have available for the upcoming training:
Other Opportunities of Interest:
Your answer
How did you learn about Volunteering at Renewal House?
Your answer
Have you been employed by or volunteered for Renewal House in the past? *
If so, when, and what service?
Your answer
Are you a former victim or survivor of domestic violence? (optional)
Have you received services from Renewal House in the past? *
If so, when did you last receive services from Renewal House?
Your answer
Are you proficient in a foreign language? *
If so, which language or languages?
Your answer
Work and/or Volunteer Experience
Please give a record of recent (within 3 years) work and/or volunteer experience. *
Your answer
Please list THREE references; two professional and one personal (close friend or family member) to include: Name, Relationship, and Email Address. *
Your answer
Additional Questions
Describe the skills and experience you hope to gain through volunteering at Renewal House. *
Your answer
Describe any training, skills, or experiences, both professional and personal, that you could offer in your role as a volunteer at Renewal House. *
Your answer
Describe what you think a successful outcome would be when working with a victim of domestic violence or sexual assault. *
Your answer
Any additional information, views or comments you would like to add.
Your answer
Do you currently have any pending charges against you, or have you ever been convicted of, pleaded guilty of no contest to, been placed on probation, fined, imprisoned or incarcerated, or paroled for any offense (i.e. felony, misdemeanor, ordinance violation or forfeiture) other than minor traffic violations? *
If your answer is yes, please explain the circumstances for each charge or offense. (NOTE: A pending charge will not automatically bar you from volunteering.)
Your answer
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