SARC Volunteer Interest Form
Please fill out this form so that we can contact you about interviewing with us so we can get to know you!

Please note: We will need to have a hard copy of your application, signed confidentiality form and signed background check form. This can be found on our website or be provided to you when you come in to meet with us.

Thank you and we look forward to working with you as a volunteer!

Email address *
Confidentiality Agreement *
By typing your name below you agree to the following statement:All volunteers, staff, direct service advocates, and interns are expected to maintain confidentiality of ANY and ALL information concerning the center’s location, personal information regarding the staff, a victim/survivor, individual cases and records. By signing this agreement, I understand that any violation to this confidentiality agreement will result in immediate removal of the participant in ANY and ALL center activities.
Your answer
Name *
First and last name
Your answer
Date of Birth *
Phone number *
Your answer
Volunteer Interest *
Check all that you are interested in doing
Preferred Contact To Schedule Interview *
Current Mailing Address *
Street Number, City, State, Zip, Apartment Number
Your answer
County of Residence *
What county do you live in?
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