802-524-6575 voices@cvoeo.org

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First Name *

Last Name

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Phone Number *

Email Address *

Date of Birth *

Employer *

Position / Title *

Have you ever held a volunteer position?Yes No

Where have you volunteered

What were your responsibilities

What attracted you to Voices Against Violence?

Do you have previous domestic or sexual violence work or personal experience? *Yes No

Please describe (if comfortable doing so)

Please check volunteer services that interest you: *

Hotline AdvocateShelter AssistantAdvisory CouncilFundraising/Awareness Planning

What skills, training or knowledge do you want to utilize at Voices Against Violence?

Please give an example of a crisis situation that you were involved in. How did you handle it? What was the outcome?

Please give an example of a time that you have worked with people from different ethnic and socioeconomic backgrounds. How did you feel?

What do you feel a relationship with a survivor should be?

Please list three personal or professional references:

Name (First and Last)

Phone

Relationship

Name (First and Last)

Phone

Relationship

Name (First and Last)

Phone

Relationship

I hereby certify that this application is true to the best of my knowledge, information and belief.YesNoDisclaimer: Voices Against Violence does run background checks on all applications

Please do not fill in this field.

Voices 24 Hour Hotline

802-524-6575

Domestic Violence Hotline

1-800-799-7233

Sexual Violence Hotline

1-800-656-4673

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