Court-Ordered Community Service Volunteer Application
Thank you for your interest in volunteering with the Rape Recovery Center! Please complete the following questions to the best of your ability. Please note: Community Service volunteers are contacted on an as-needed basis and as such, we cannot guarantee fulfillment of hours. Additionally, please take note that email is our primary method of communication.
Email address *
First Name *
Your answer
Last Name *
Your answer
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Common pronouns are he/him/his, she/her/hers, they/them/theirs. For more information, click here:
Your answer
Do you have any health concerns or medical problems that should be brought to our attention? *
If you answered yes to the question above, please explain:
Your answer
How many hours of service do you need to complete? *
Please note, since our volunteers are contacted on as-need basis, we advise those who are in need of over 50 hours of community service to pursue additional organizations to fulfill your full hour requirement.
By when must you complete these hours? *
Have you received services from the Rape Recovery Center within the last two years? *
This DOES NOT include anonymous crisis line or community presentations but does include Hospital Response, Advocacy, Skills Counseling, Group or Individual Therapy.
Have you ever been charged with perpetrating domestic violence or sexual assault? *
I give the Rape Recovery Center my permission to verify information regarding my background as they deem appropriate. I certify that the information given in this application is accurate to the best of my knowledge and understand that any misrepresentation of information may disqualify me from being a volunteer at the Rape Recovery Center. Type your initials here: *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Rape Recovery Center. Report Abuse - Terms of Service