Volunteer Application Email:(*) Invalid Input First Name:(*) Invalid Input Last Name:(*) Invalid Input Phone Number:(*) Invalid Input Street:(*) Invalid Input City:(*) Invalid Input State:(*) Invalid Input Zip:(*) Invalid Input Are you applying for a Volunteer Position or Internship? VolunteerInternship Invalid Input Are you interested in Client-based Advocacy or Community Advocacy? Client-basedCommunityOther Invalid Input If other please type here: Invalid Input New Advocate Training In order to volunteer, the full 30-hour New Advocate Training is required. Tentative Dates: Check Back Soon. Can you attend these dates? YesNo Invalid Input If no, explanation: Invalid Input Volunteer Preferences and Availability Area of Interest(*) Client AdvocateCommunity AdvocateOther Invalid Input If other please type here: Invalid Input How did you learn about Volunteering at Renewal House? Invalid Input Have you been employed by or volunteered for Renewal House in the past? -----------YesNo Invalid Input If so, when, and what service? Invalid Input Are you a former victim or survivor of domestic violence? ---------YesNo Invalid Input Have you received services from Renewal House in the past?(*) ---------YesNo Invalid Input If so, when did you last receive services from Renewal House? Invalid Input Are you proficient in a foreign language?(*) ---------YesNo Invalid Input If so, which language or languages? Invalid Input Work and/or Volunteer Experience Please give a record of recent (within 3 years) work and/or volunteer experience. (*) Invalid Input Please list THREE references; two professional and one personal (close friend or family member) to include: Name, Relationship, and Email Address. (*) Invalid Input Additional Questions Describe the skills and experience you hope to gain through volunteering at Renewal House. (*) Invalid Input Describe any training, skills, or experiences, both professional and personal, that you could offer in your role as a volunteer at Renewal House. (*) Invalid Input Describe what you think a successful outcome would be when working with a victim of domestic violence or sexual assault. (*) Invalid Input Any additional information, views or comments you would like to add. Invalid Input Do you currently have any pending charges against you, or have you ever been convicted of, pleaded guilty of no contest to, been placed on probation, fined, imprisoned or incarcerated, or paroled for any offense (i.e. felony, misdemeanor, ordinance violation or forfeiture) other than minor traffic violations?(*) ---------YesNo Invalid Input If your answer is yes, please explain the circumstances for each charge or offense. (NOTE: A pending charge will not automatically bar you from volunteering.) Invalid Input Submit
