Home » Volunteer Application Form
Date of Birth
I check my email: DailyWeeklyRarely
How did you hear about us? FriendNewspaperTelevisionBrochure or PamphletRadioSpeakerFlyerOther
Please record your recent employment and/or volunteer experience:
Share briefly your understanding of domestic violence.
What are your reasons for wanting to volunteer with DVIP?
If your volunteer service will fulfill a class requirement please list the class name, goal of
your service and how many hours you must complete.
If you are volunteering to fulfill a community service requirement, please state your offense and the
number of hours you must complete.
Have you ever been arrested? YesNo
Have you been suspected or convicted of child abuse? YesNo
Please check the areas you have interest in: Office SupportTransportationFundraisingCrisis HotlinePeer CounselingLegal AdvocacyMaintenanceEvent PlanningInterpretation/TranslationYouth ActivitiesOther
Please check the areas you have experience in: Office SupportVictim ServicesCounselingEvents PlanningComputerAdvocacyYouth ServicesPublic SpeakingBuilding Repair and MaintenanceFundraisingGrant Writing
Please sign here:
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