Volunteer Intake Application
Thank you for interest in contributing to the work we do. Once this form has been submitted, you will receive a response, along with our general brochure that details who we are, and what we do. Please read through that carefully. Mosaic Vermont's mission is to heal communities and end sexual violence. We envision a world with resilient communities, free of sexual and gender-based violence, where all people are supported in healing from harm.

How we do that work takes an army of lovers, caretakers, teachers, healers, creators, and advocates. That's where YOU can come in! Every volunteer who works with us brings a unique gift of being who they are to the table.

Please take a moment to answer the questions on this form to help us determine where you might fit into this mosaic.
Sign in to Google to save your progress. Learn more
Email *
Your name (first, last, pronouns)
For some volunteer opportunities, we require a 1-2 hour training that will cover the basics of what Mosaic does. If you want to gain more skills, we invite you to become a fully-trained crisis worker advocate, which requires a 3-4 day training and allows you to have "privilege" - to answer helpline calls, maintain confidentiality, and may be called to report. Please check your level of interest. "Other", means you don't need training to come in with a service, skill, or one-up volunteer task.
Clear selection
Please choose as many options from this list that you are interested in.
If you checked "Specific Skill" above - please tell us more about what your skill or area of knowledge is. For example: It could be teaching a community workshop, carpentry, painting, or gardening.
Thank you! Someone will get back to you shortly!
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mosaic Vermont. Report Abuse