Volunteer Application Please select the volunteer program in which you are interested: * You may choose more than 1. Mobile Response Team General Administrative Work Outreach and Education Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * DEMOGRAPHIC INFORMATION The Rape Recovery Center values diversity and strives to create an inclusive environment for people with a wide range of identities. As a nonprofit organization, we have grantors that collect demographic information about our staff, volunteers, and clients. Do you identify as a member of the LGBTQ+ community? Yes No Prefer not to answer Do you identify as a person with a disability? Yes, I have a physical disability Yes, I have a mental disability Yes, I have both a physical and mental disability No Other What do you identify as your race and/or ethnicity? What languages can you speak? * If you do speak another language, would you feel comfortable conversing with a survivor in this language? BACKGROUND INFORMATION Have you ever been convicted of a crime (other than traffic violations)? * If you answer yes, you will NOT be automatically disqualified from volunteering. No Yes If yes, please explain. A background check is required for most positions: I have received services from the Rape Recovery Center within the last two years? * Yes No Not sure Have you ever worked or volunteered for a sexual violence or domestic violence service provider? * Yes No If yes, where did you work/volunteer and when? How did you hear about the Rape Recovery Center and what makes you interested in volunteering for us? * How much time are you wanting to commit to volunteering with the RRC weekly? 1-2 Hours 2-5 Hours 5+ hours What work and/or volunteer experiences have you had that might have prepared you for providing services at the Rape Recovery Center? (if applicable) VOLUNTEER SCENARIOS Please read the following scenarios and briefly respond. A survivor of sexual assault would like information about abortion options: * A survivor chooses not to go to the police even though the offender is a known rapist and will probably rape again: * The survivor states that they are part of the LGBTQ+ community and were assaulted by someone of the same sex: * You are taking calls on our 24 hour crisis line, and receive a call from someone who you believe is looking for sexual gratification: * SIGNATURE I understand that the Rape Recovery Center has an obligation to protect its clients and volunteers, and I therefore give the Rape Recovery Center my permission to verify information regarding my background as they deem appropriate. I certify that the information given in this application is accurate to the best of my knowledge and understand that any misrepresentation of information may disqualify me from being a crisis worker at the Rape Recovery Center. You must be 18 years old to attend the UCASA training and to volunteer on our crisis line or with clients. By typing your name here, you are agreeing that all information provided in this application is true and correct: * Thank you! We will be in touch soon.
