Volunteer Advocate Application
Thank you for showing interest in becoming a Volunteer Advocate with Pueblo Rape Crisis Services. Our Volunteer Advocates respond to the hospital and our 24/7 confidential crisis hotline. We provide confidential advocacy and support to primary and secondary survivors of sexual assault. For former clients, we are grateful that former PRCS clients want to volunteer with us. Please note that for confidentiality purposes, we ask for at least 6 months between the completion of services with us and the start of volunteering. Please fill out this application and our Volunteer Program Coordinator will contact you.
Name *
First and last name
Preferred Pronouns
Date of application *
Address *
Street, City, State, Zip
Phone number *
Date of Birth *
Current Employer (if no current employer put N/A) *
Current School (if no current school put N/A) *
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 Volunteer Meetings & Continuing Education opportunities? *
Do you speak any other languages? *
If yes to the above question, what language(s) do you speak?
Are you able to attend all 4 days of training and complete the online portion? *
Have you in the last 6 months 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 about yourself? *
Please check all qualifications that you meet. If you cannot check one this does not immediately disqualify from this volunteer position. *
Certification *
PLEASE TYPE YOUR NAME if the information given is true and accurate to the best of my knowledge. Any willful misrepresentation or falsification of this application will result in disqualification form my participation in the program, and/or immediate termination. I understand that submitting this application in no way guarantees my acceptance or work as a volunteer, and that I must also meet additional requirements.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pueblo Rape Crisis Services.