 |
 |
| |
|
Volunteer Application |
||||||||||||
| Name:_____________________________________________ Date:______________ Address:__________________________________ City/town:___________________ State:____________________ zip code:________________ Phone:______________ What has attracted you to working as a volunteer at WCS? What benefits do you expect to derive? Have you been abused yourself or do you know someone who has? Please explain: Background experiences (personal, educational, work, volunteer, etc.). Do you feel a client's crisis could trigger an emotional reaction based on your own experiences? Are you currently in counseling or have you sought counseling in the past? What kind? Would getting crisis calls during different hours of the night bother you in any way? Please explain: Occasionally, you may be called to go out of your home to respond to the hospital. Would that bother you at all? Please explain: Are you aware of the volunteer commitment after the training (CIW commitment)? Can you fulfill this commitment? Are you interested in any of these other agency activities?
Is there any other pertinent information that you would like us to know? Please print out 3 copies of the reference sheet and attach them to this application, providing the names and addresses of 3 references (at least 2 professional/academic) on these sheets and sign the volunteer permission on each. Thank you. |
| Women's Crisis Services is a Monadnock United Way Agency. Women's Crisis Services of the Monadnock Region, 12 Court St. Keene, NH. 03431 Women's Crisis Services of the Monadnock Region, 47 Peterborough St. Suite B, Jaffrey, NH. 03452 All graphics are the property of Women's Crisis Service's of the Monadnock Region, and New Hampshire Coalition Against Domestic and Sexual Violence, © Copyright 2002 |
| Web site designed by Trudy Emmerick |