Volunteer

Name *

First Name

Last Name

I am 18 or older *

Yes

No

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Have you ever been convicted of a misdemeanor involving theft, misrepresentation or moral turpitude, or convicted of any felony? *

Yes

No

Are you presently working or in school? *

Yes

No

Have you ever had previous contact with Bellflower Center, Domestic Violence Center, DVCAC, Templum, Witness/Victim Service Center, or Cleveland Rape Crisis Center? *

Yes

No

What volunteer position(s) are you interested in? *

Check all that apply.

Helpline Volunteer: Responsible for responding to callers in need of crisis intervention, support, safety planning, program intakes, referrals, and community resources on the 24-Hour Helpline.

Class Co-Facilitation: Assist Prevention Educators with providing a safe, confidential space for individuals who are seeking domestic violence and parenting education with a weekly group curriculum.

Group Co-Facilitation: Assist Justice System Advocates with providing a safe, confidential space for victims of domestic violence to share their experiences in a weekly, peer-led support group.

Childcare: Assist advocates in providing childcare to youth whose parent is participating in JOURNEY programming; includes children 0-12, volunteer is responsible for role modeling healthy relationships and boundaries.

Administration/ Special Events: Assist with special projects and events. May include: resource tables, materials preparation and/or distribution, event day set up and/or breakdown, and other projects as needed.

By submitting this application I accept the following terms: *

I am aware that I am responsible for covering cost associated with the background check (estimated cost of $40). Background check results must be received prior to volunteer placement.

I am willing to participate in screening, orientation, and all required training procedures.

I understand that my attendance is required at each training session in order to successfully complete volunteer training and become an active volunteer.

I acknowledge that Journey has a non-violence policy for clients, staff, board, and volunteers, which states that no verbal, emotional, or physical abuse will be tolerated.

I agree to volunteer with Journey at least once monthly for at least 12 months. I understand that my commitment and consistency impact clients and operations.

I will keep confidentiality enforced by Journey and all service providers who partner with Journey.

I have been honest and accurate in my completion of this application.

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