Volunteer-Internship Application
Thank you for your interest in volunteering/interning with Safe Passage! Please visit our website for more information regarding training dates and times.
We appreciate your time and interest.
* Required
Name
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First and Last name
Your answer
Date of Birth
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MM
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DD
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YYYY
Email
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Your answer
Phone Number
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Your answer
Address
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Your answer
How did you hear about us?
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Internship/Career Fair
Community Event
Social Media
Other:
Are you currently a student?
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If so, please specify which college and what degree (pursuing a bachelors, masters, etc.)
Your answer
I would like to:
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Intern (Bachelor's Level/Foundations) (unpaid)
Counseling Intern (unpaid, Masters Level)
Volunteer (direct-service: Respite Care, Crisis Advocate, Medical On-Call)
Medical On-Call Volunteer
Organizations in which you are active in
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Your answer
Are you 18 years old or older?
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Yes
No
Do you speak any foreign languages?
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If so, please list other languages
Your answer
Personal Reference
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Please provide their: Name, Relationship, Phone and Email
Your answer
Professional Reference
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Please provide their: Name, Relationship, Phone and Email
Your answer
Please check all opportunities you are interested in:
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Children's Program Volunteer (4 hours/week: Mondays from 5:45pm-8pm and Wednesdays from 5:15pm-7pm)
Hotline Volunteer (10 hours/week)
Legal Program Volunteer (10 hours/week)
Partner Abuse Intervention Program (PAIP) Volunteer (10 hours/week)
Donation Organizer (training not required)
Required
Which of your current or past skills do you feel would best help the organization?
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Your answer
Do you have any previous experience or skills in the area of domestic or sexual violence?
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If so, please describe
Your answer
Why do you think you would be a good volunteer for Safe Passage?
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Your answer
Please list the hours during the week that you will be available to volunteer
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Exa: Monday 5pm-9pm, Tuesday 8am-5pm, Wednesday 12pm-5pm...
Your answer
I understand that there is a $100 training fee.
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$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.
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Electronic Applicant Signature Needed (Please type name to indicate understanding)
Your answer
Date of Application Completion
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MM
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YYYY
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