Volunteer Application
YWCA Metropolitan Chicago Sexual Violence & Support Services
Medical/Legal Advocacy and Crisis Hotline Volunteers
Non-compensation positions requiring a 1-yr volunteer commitment that offers flexible scheduling.
Today's Date *
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Full Name *
Age *
Phone Number *
Email *
Gender *
Address *
Can you make a one-year commitment to volunteering with the YWCA Metropolitan Chicago Crisis Services? *
Required
What is your interest in volunteering for the Chicago Rape Crisis Hotline or Medical Advocacy? *
All volunteers are required to complete our 40-hr Crisis Intervention Training? What types of training schedules would better suit your availability?
Please check all volunteer opportunities you are interested in. *
Please Check the area you want to volunteer in *
How did you hear about the YWCA Metropolitan Chicago Crisis Services? *
Do you have any special needs? *
If so, please list any accomodations that may be helpful or necessary.
What sexual assault training or experience working with sexual assault survivors have you received? *
How would you rate your familiarity with sexual assault? *
What does rape mean to you? *
Have you ever perpetrated any form of sexual abuse, harassment or assault? *
What are your fears and/or concerns related to volunteering as a rape crisis worker?
How do you feel about working with/assisting people who are of a different race, religion, belief or lifestyle than yours? *
What life, educational, and work experience, or other skills do you have that may be helpful in your work as a rape crisis worker? *
Are you fluent in any language other than English? *
If yes, what language?
Do you have any special skills that you feel would be beneficial to the YWCA Metropolitan Chicago Crisis Services?
What are your hobbies and interests? *
VOLUNTEER EXPERIENCE
Volunteer-Operations in Emergency Management
Organization Name
Immediate Supervisor
Contact Information
Dates of Service
Brief Summary of your duties
Name of Organization
Immediate Supervisor
Contact Information
Dates of Service
Brief Summary of Duties
EMPLOYMENT EXPERIENCE
Associate Director of Graduation & Student Services
Name of Employer
Immediate Supervisor
Contact Information
(phone number, email, address, website)
Dates of Employment
Summarize briefly the nature of work performed and job responsibilities.
EDUCATION
Please check highest level of education completed. *
Required
Field of Study/Degree
Name of University/College
If you are currently in school, what is your Field of Study?
When do you expect to Graduate?
Name of University/ College
Have you ever been convicted of a felony? *
A conviction will not necessarily disqualify you from being a Volunteer.
If yes, please explain
Do you have access to an auto if there is a need for you to travel as a volunteer? *
REFERENCES
Provide the names of two references (one professional, i.e. from a previous or current work/school/volunteer supervisor and one personal, i.e. from a friend or relative) who know you well and who can attest to your character, skills and dependability.
Name *
Phone Number *
Email *
Relationship *
Length of time known *
Name *
Phone Number *
Email *
Relationship *
Length of time known *
Is there anything else you would like to tell us?
THANK YOU SO MUCH FOR YOUR INTEREST IN VOLUNTEERING FOR THE YWCA METROPOLITAN CHICAGO SEXUAL VIOLENCE & SUPPORT SERVICES
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