Skip to content
Menu
If you're in danger and need to quickly close this page,use the safety exit
Safety and dignity. A promise we must keep.
Resources
JCHTC
About
About DVIP
Cooper’s House
Blog
Get Involved
Get Involved
Volunteer Application Form
Board of Directors Candidate Application
Administrative Careers
DVIP Merchandise
Events
Contact
How to Donate
Accessibility Button
800.373.1043
Página en Español
Close
Volunteer Application Form
Volunteer Application Form
Name
Address
Email
Home Phone
Work Phone
Date of Birth
I check my email:
Daily
Weekly
Rarely
How did you hear about us?
Friend
Newspaper
Television
Brochure or Pamphlet
Radio
Speaker
Flyer
Other
Other
Please record your recent employment and/or volunteer experience:
Employer
Position
Dates
Phone
Employer
Position
Dates
Phone
Employer
Position
Dates
Phone
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?
Yes
No
Have you been suspected or convicted of child abuse?
Yes
No
Please check the areas you are interested in:
Office Support
Transportation
Fundraising
Crisis Hotline
Peer Counseling
Legal Advocacy
Maintenance
Event Planning
Interpretation/Translation
Youth Activities
Other
Other
Please check the areas you have experience in:
Office Support
Victim Services
Counseling
Events Planning
Computer
Advocacy
Youth Services
Public Speaking
Building Repair and Maintenance
Fundraising
Grant Writing
Today's Date
Signature
Clear
reCAPTCHA
If you are human, leave this field blank.
Submit
Δ
