Volunteer Victim Advocate Application

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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) *

She/Her/Ella

He/Him/Él

They/Them/Elles

Xe/Xim

Other:

Required

Today's Date *

YYYY

Address *

Street, City, State, Zip

Phone Number *

Best Way to Contact *

Phone

Text

Other:

Date of Birth *

YYYY

Current Employer (if not currently employed, please put N/A) *

Are you currently in school? *

Yes

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? *

Yes

Are you able to attend volunteer meetings & continuing education opportunities? *

Yes

Do you speak any other languages than English? *

Yes

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. *

Yes

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. *

Must be at least 18 years of age, 21 preferred.

Must own a cell phone.

Must have a vehicle in working condition with insurance.

Must live in Pueblo County (must be able to respond to Parkview within 30 minutes).

Must be willing to submit to a criminal background check & obtain a set of fingerprints.

Must be able to complete 12 continuing education opportunities a year and re-certification every 2 years.

Must be able to commit to at least 16 hours a month of volunteer service.

Must be able to commit to 1 year of service with PRCS.

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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