Volunteer application form
The reasons for volunteering with Russell House are as unique and diverse as our volunteers themselves. Many people choose to volunteer with Russell House because our volunteer program is self-rewarding and flexible. Whether you choose to work directly with victims of domestic violence and sexual assault, or want to contribute to the organization’s mission in a more indirect way, you will make a difference in the lives of others.
Name *
First and last name
Email *
Phone number *
Mailing Address *
Previous volunteer experience, if any:
Which position(s) are you interested in? *
Required
Is there a day of the week or time that works best for you? *
Approximately how many hours per week or month are you interested in volunteering? *
Russell House requires volunteer screening. Will you consent to a criminal background check and a child abuse and neglect screening? *
References: *
Please list 2 references you have known for at least one year (cannot be a relative) Please include name, relationship to you, email, and phone number.
In case of an emergency, please contact: *
Include first and last name, and phone number.
1. What is your experience, if any, in working with individuals in crisis situations?
2. What skills or areas of expertise would you bring to Russell House as a volunteer? *
3. What is your experience with domestic and/or sexual abuse, if any?
I understand that my application is subject to review by Russell House staff; and that additional interviews, training and education are required for this volunteer work. I understand that all information I have provided is confidential and will be used by Russell House staff for screening purposes only. I understand that Russell House reserves the right to refuse an individual’s request to volunteer in any, or all areas, based on each individual’s ability to meet job qualification. I attest that the information I have supplied is true to the best of my knowledge. I understand that providing false information is grounds for my immediate dismissal as a Russell House volunteer. Russell House does not, and shall not, discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all Russell House staff, clients, volunteers, subcontractors, and vendors. *
Have you ever been convicted of a felony? *
If yes, please explain:
Thank you for your interest in volunteering at Russell House! Our Volunteer Coordinator will contact you to schedule a volunteer interview soon.
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