Volunteer-Internship Application

Thank you for your interest in volunteering with Safe Passage. A criminal background check is run on all applicants. We ask all volunteers and interns for a $16 background check fee. In addition, there is a $100 training fee. You will be reimbursed $75 after completion of the 65 hour domestic violence and sexual assault training, along with completing the 6 month commitment. We appreciate your time and interest.

Name *

First and Last name

Your answer

Date of Birth *

YYYY

Email *

Your answer

Phone Number *

Your answer

Address *

Your answer

How did you hear about us? *

Internship/Career Fair

Community Event

Social Media

Other:

Are you currently a student? *

If so, please specify which college and what degree (pursuing a bachelors, masters, etc.)

Your answer

I would like to: *

Intern (unpaid)

Counseling Intern (unpaid, Masters Level)

Volunteer (direct-service: Respite Care, Crisis Advocate, Medical On-Call)

Volunteer (non-direct service: Donation Organizer)

Organizations in which you are active in *

Your answer

Are you 18 years old or older? *

Yes

Do you speak any foreign languages? *

If so, please list other languages

Your answer

Personal Reference *

Please provide their: Name, Relationship, Phone and Email

Your answer

Professional Reference *

Please provide their: Name, Relationship, Phone and Email

Your answer

Please check all volunteer opportunities you are interested in: *

Children's Group Facilitator (65 hour training required)

Crisis Advocate (65 hour training required)

Medical On-Call Advocate (65 hour training required)

Respite Care (65 hour training required)

Donation Organizer (training not required)

Required

Which of your current or past skills do you feel would best help the organization? *

Your answer

Do you have any previous experience or skills in the area of domestic or sexual violence? *

If so, please describe

Your answer

Why do you think you would be a good volunteer for Safe Passage? *

Your answer

Please list the hours during the week that you will be available to volunteer *

Exa: Monday 5pm-9pm, Tuesday 8am-5pm, Wednesday 12pm-5pm...

Your answer

I understand that there is a $16 Background Check fee. *

Yes, I understand

I understand that there is a $100 training fee. *

$75 will be reimbursed after successful completion of the 65 hour domestic violence and sexual assault training, along with completing the 6 month (or 2 semesters for interns) commitment.

Yes, I understand

VOLUNTEER CONTRACT

I understand that I must complete the entire 65-hour training plus additional sit-ins before I can begin to volunteer/intern in direct-service programs. I understand that Safe Passage does not discriminate against persons based on race, religion, ethnicity, sexual orientation, or physical disability. I also understand that all volunteer/intern applicants will undergo a thorough screening process to determine if they are appropriate for the current needs of Safe Passage. In addition, acceptance of all volunteers/interns is conditional upon the positive outcome of a national criminal background check and a Child Abuse and Neglect Tracking System (CANTS) check. I hereby give Safe Passage my permission to conduct these background checks. All volunteers and interns must also complete and sign a Volunteer Contract. *

Electronic Applicant Signature Needed (Please type name to indicate understanding)

Your answer

Date of Application Completion *

YYYY

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