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24-Hour Crisis Line: 952-933-7422
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  Volunteer Application Form
   
  The following information is required in order to help us screen and assign our volunteers.
The information you provide to us will be held completely confidential.
       
  Yellow tint indicates required information.    
       
  Name  
  Street Address  
  City, State, Zip  
  Home Phone  
  Work Phone  
  Cell Phone  
  Email Address  
  Is this volunteer/intern experience
for a class or credit?		   Yes No
  If yes, please give the professor / instructor / advisor information and total number of hours required for credit.  
  Occupation  
  Employer/School  
  Employer/School Address  
 

Please indicate your availability

Please be specific about how many hours per week/month, days of week, times of day, what date first available.

  
  Can you commit up to six months or more?   Yes No
  Do you have any physical limitations that would prevent certain volunteer work?   Yes No
  If yes, please describe:  
  Why do you wish to volunteer at Sojourner?  
  Have you had any experience or training on issues of domestic violence?   Yes No
  Please describe.  
  Are you interested in participating in training opportunities to increase your understanding of domestic violence?   Yes No
  Do you speak a language other than English?   Yes No
  Please list other language(s)  
  Do you have a car and are you willing to transport program participants?   Yes No
  Have you ever been convicted of a felony?   Yes No
  If yes, please describe.  
   
 
 

We want to fulfill your volunteer service objectives. In order to assist us in creating an opportunity that meets your expectations, we ask that you take a moment to review the list below and then check those items in which you would like to work, have an interest in or skill to share. Training and supervision can be provided for all volunteer opportunities.

Thank You!
  Administrative Support   Clerical Projects
      Data Entry
      Donation Room Worker
      Mailings
      Reception Desk
 
  Communications/Public Relations   Graphic Designer
      Media Relations
      Newsletter Publications
      Photography
      Speakers Bureau
 
  Facilities Management   Carpentry/Handyman
      Donation Pickup
      Equipment Repair
      Furniture Repair
      Landscaping
      Painting
 
  Advocate/Client Support   Help
      Crisis Line
      Child Care
      Relief Advocates
      On Call Intervention
      Support Group Facilitation
      Transportation
 
  Recreation/Creative Activities   Arts and Crafts-Adult
      Arts and Crafts-Children
      Health and Awareness-Children
      Health and Awareness-Adult
      Recreational Games-Children
      Music and Movement
      Special Events
      Storytelling-Children
      Transport
 
  List any other skills or talents  
  Do you have any additional questions?  
  Emergency Name  
  Relationship  
  Emergency Phone  
     
   
I understand that the above information may be verified.
   
I understand that the volunteer relationship with Sojourner may be terminated by either party and any time.
   
I understand that if I am currently seeing a counselor/therapist regarding issues of domestic violence rape and/or sexual abuse, that I need to talk with that therapist/counselor to determine if volunteering at Sojourner would be appropriate for you at this time.
   
     
  Charities Review Council Sojourner Project was deemed "trustworthy and accountable" by the Charities Review Council.
DOES YOUR LOVED ONE HURT YOU?
Nobody deserves to be abused.
To speak to someone confidentially, call our 24-Hour Crisis Line at 952-933-7422