West Seattle Helpline Volunteer Application
Interested volunteers: please fill this form out completely. This application does not discriminate in securing volunteers on the basis of age, race, color, religious creed, national origin, sex, or ancestry; or on the basis of handicap or disability and any other characteristic required by law. No question on this form is intended to secure information to be used for such discrimination.
Date of Birth:
Primary Phone #:
Other Phone # (if applicable):
Why are you interested in volunteering at West Seattle Helpline?
How did you hear about West Seattle Helpline?
Online volunteer website
Attended a Helpline fundraising event
Word of mouth referral
Are you applying to fulfill a COMMUNITY SERVICE REQUIREMENT?
YES - Court ordered
YES - Community service for school
YES - Other
Please list any related training, certifications, or background volunteer/work experience:
Please mark your weekly availability below:
Please note that potential shifts may vary from the hours designated below.
MON mornings (9am-noon)
MON afternoons (noon-4pm)
MON evenings (4-8pm)
TUES mornings (9am-noon)
TUES afternoons (noon-4pm)
TUES evenings (4-8pm)
WED mornings (9am-noon)
WED afternoons (noon-4pm)
WED evenings (4-8pm)
THURS mornings (9am-noon)
THURS afternoons (noon-4pm)
THURS evenings (4-8pm)
FRI mornings (9am-noon)
FRI afternoons (noon-4pm)
FRI evenings (4-8pm)
SAT mornings (9am-noon)
SAT afternoons (noon-4pm)
SAT evenings (4-8pm)
SUN mornings (9am-noon)
SUN afternoons (noon-4pm)
SUN evenings (4-8pm)
I am interested in volunteering with:
The Helpline Hotline - Intake
The Helpline Hotline - Follow-Up
Do you need any special accommodations or have any restrictions? Please specify here:
Note: Response will not affect eligibility to volunteer, will be used to ensure a compatible and enjoyable opportunity
Do you speak any languages other than English conversationally?
YES - Spanish
YES - Vietnamese
YES - Arabic
YES - Somali
YES - Khmer
YES - other language not listed here
In case of emergency, please contact:
Include NAME, PHONE NUMBER, and RELATIONSHIP
Please list at least one character reference and their contact information:
Include NAME, PHONE NUMBER, EMAIL ADDRESS, and RELATIONSHIP
Please read the following confidentiality statement.
By entering your full name below, you agree to the terms of confidentiality upheld by the West Seattle Helpline and certify that the information contained in this application for volunteer service is true to the best of your knowledge.
Please enter your full name.
Never submit passwords through Google Forms.
This form was created inside of West Seattle Helpline.
Terms of Service