Volunteer Victim Advocate Application
Thank you for showing interest in becoming a Volunteer Victim Advocate with Pueblo Rape Crisis Services! Our Volunteer Victim Advocates serve as crisis interventionists, responding to the hospital and calls on our 24/7 confidential, crisis hotline. We provide confidential advocacy and support to primary and secondary survivors of sexual violence. Please fill out this application and our Volunteer Program Coordinator will contact you soon. Thank you!
Email *
Name *
First & last
Pronouns (please check all that apply) *
Required
Today's Date *
MM
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DD
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YYYY
Address *
Street, City, State, Zip
Phone Number *
Best Way to Contact *
Date of Birth *
MM
/
DD
/
YYYY
Current Employer (if not currently employed, please put N/A) *
Are you currently in school? *
School Name, Area of Study, & Graduation Date
Emergency Contact *
Name, Relationship, Phone Number
Reference #1 - Personal *
Name, Relationship, Phone Number, Email, Years Known
Reference #2 - Professional *
Name, Relationship, Phone Number, Email, Years Known
What interested you in this volunteer position? *
Have you volunteered in the past? If so, where did you volunteer, what were some of your duties, and what you did enjoy? *
Are you able to attend the full 35-hour training needed to become a privileged, confidential victim advocate? *
Are you able to attend volunteer meetings & continuing education opportunities? *
Do you speak any other languages than English? *
If so, what language(s) do you speak?
Have you in the last year been enrolled in any services through the PRCS office? This includes case management. *
Is there anything else you would like for the Volunteer Program Coordinator to know? *
Please check all qualifications that you meet. If you cannot check one, this does not immediately disqualify from this volunteer position. *
Required
Certification *
PLEASE TYPE YOUR FULL NAME if you certify the information given is true to the best of your knowledge. Any willful misrepresentation or falsification of this application will result in disqualification of your participation in the program and/or immediate termination. You understand that submitting this application in no way guarantees your acceptance as a volunteer, and that you must also meet any additional requirements.
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