Volunteer Application

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Thank you for your interest in volunteering with Alianza DV Services, Inc. Please complete and submit this form. (You may also print and mail this form to Alianza - Development Office, P.O. Box 1099, Holyoke, MA 01040.)

Please be advised that volunteering with Alianza will require you to have your own transportation and may require a CORI check.

Once your application is reviewed you will be matched with a volunteer job or task. A staff member will contact you to set up an interview. All information on this form will be kept confidential and will help us find the perfect volunteer role for you.

About Alianza: We are a nonprofit organization working in Western Massachusetts to provide assistance, support, and empowerment for those who are affected by domestic and intimate partner abuse. We provide 24hr/day-7 day/week emergency Hotline, safety planning, emergency shelter, housing and medical advocacy, and assistance with court-based issues related to domestic violence. Our services are survivor-centered and provide the emotional support, empathy, and the space for survivors of domestic violence to tell their story.

Email *

Name *

Preferred pronouns *

Street *

City, State, Zip Code *

Home Phone

Cell Phone *

Email *

Employer (if applicable) *

Age Range *

Under 18

18-24

24-30

30-40

40-50

over 50

Required

Do you have any special skills you would like us to consider when placing you in a position? *

Please list any languages you speak fluently *

Current volunteer opportunities are below. Please check which jobs are of interest. *

Special Events Volunteer – Tasks include planning and organizing event fundraisers of all types, helping to shape the event, sell tickets, identify potential sponsors, secure auction items, etc. The majority of the work happens independently outside of the Alianza office, however volunteers are asked to attend committee meetings, which occur in person in our office and virtually via Zoom or Google Meets.

Outreach Volunteer - Tasks include researching and identifying community events where Alianza can have an outreach presence (i.e. fairs, festivals, outdoor markets), distributing Alianza informational materials to public places, (doctor’s offices, libraries, schools, businesses, local service agencies) and helping to operate information tables and/or help outreach staff set-up and break down of information tables at events. Volunteer time commitment is flexible and may include weekend days.

Donations Volunteer – Tasks include driving to pick up donations from area businesses, civic, school or church groups, or individuals and delivering them to Alianza’s main office in Holyoke. Volunteers may also help to sort donations and organize storage rooms. A valid driver’s license and proof of auto insurance is required. Donations volunteers also need to carry a cellphone to communicate with office staff regarding deliveries. Volunteer time would be on an as-needed basis, approx. 1 - 5 hour per week.

Required

Which days are you available? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Required

Please list any accommodations that you may need: *

Liability Release

As a volunteer of Alianza I agree to abide by all policies and procedures as spelled out in the volunteer handbook. I understand that I volunteer at my own risk and neither the organization nor its employees assume any liability for any accidental injury or health problem arising from volunteer work I perform for the organization. I agree that all work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.

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