Application & Agreement to become a Volunteer or Intern

Volunteer / Internship Application and Agreement
Thank you for your interest in supporting our mission.

Our volunteers and interns must meet the following requirements:
- Age: At least 18 years of age, or 16-17 years of age with the written permission of a parent/guardian
- Minimum Time Commitment: 10+ hours/week for 12+ weeks; internships require 20+ hours/week for 12+ weeks
- Minimum Academic or Work Experience:
  - Students or Recent Graduates = 3.4 or above GPA required
  - Non-Students = relevant work experience of at least 2 years
If you don't meet any of the criteria above, please utilize the "Additional Information" field below to explain your situation.

This form takes 15+ minutes to complete. These questions ensure you are a great fit for our team and TBTN is a match for you. When these goals align, we know we will continue to serve our mission and your personal vision for partnering with TBTN.

We have helped hundreds of volunteers obtain skills, build confidence, and fulfill myriad requirements. We look forward to reviewing your application.

Please review the terms and conditions at the end of this form before submitting. If your application is selected, we will be in touch with further information.

Please note in completing this form, you understand and agree that TBTN may use your submission and data as part of its aggregate reporting, operations, and internal review. TBTN does not sell your personal data or contact information to any 3rd parties.
Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Mailing Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address: Street Address*
Street Address Line 2
City*
State/Province*
Postal/Zip Code*
Country*
My cell phone is a number from:*

US or CanadaAnother country
Cell Phone (must be a U.S./Canada number)*

Area CodePhone Number
Cell Phone (enter country code first)*

Country CodeArea CodePhone Number
Personal Email Address (ie, Gmail, Yahoo, etc.; NOT a work/school email). This will be the email address through which we communicate with you regarding all work with TBTN until we may provide you with a Foundation email address on our server. *

Confirmation Emailexample@example.com
Alternate Email (if available, in case we can't reach you at your personal email; MAY include a work/school email)
example@example.com
Emergency Contact

Please provide an emergency contact so we can help you should anything arise during your work with us.
Emergency Contact Name*

First NameLast Name
Relationship to you? (partner, parent/guardian, sibling, etc.)*
My emergency contact has a phone number from:

US or CanadaAnother country
Emergency Contact Phone Number - from U.S. or Canada*

Area CodePhone Number
Emergency Contact Phone Number - Enter country code first*

Country CodeArea CodePhone Number
Emergency Contact Email Address*
example@example.com
Demographics

This information is needed for our non-profit status and other metrics, including those established by grants, governmental agencies, and other NGOs.
My preferred pronouns are:*

She/herHe/himThey/themZe/zemOther
Other pronoun(s):
I identify as:*

FemaleMaleNon-binaryTransgenderI prefer not to sayOther
Other gender(s):
I identify as:*

Black or AfricanHispanic or LatinoWhiteAsianAmerican IndianPacific IslanderTwo or more racesUnknownI prefer not to sayOther
Other race(s) and/or nationality(s):
I identify as:*

Heterosexual/StraightGay or LesbianBisexualPansexualI prefer not to sayOther
Other sexual orientation(s):
My current age is:*
Background
Please be honest. Your answer to the following question does not necessarily disqualify you from a volunteer position.
Have you ever been convicted of any crime, including speeding violations?*

Yes, only speeding violationsYes, something elseNo
Please explain any criminal convictions, including when, where and what the crime(s) was. Put NA if None. *
Experience & Bio
Current School, Organization or Company Affiliation. (Write N/A if this does not apply).*
Put None if not affiliated.
Name of Most Recent Educational Institution and GPA Earned. (If you haven't been in school for 5+ years, you may estimate your GPA or write "N/A.")*
Upload Your Resume (Transcript for ages 18 & under accepted in lieu of formal resume)*

Browse Files
May include transcript and resume - Use the same button for multiple files. Cancelof
Upload a Profile Picture. May be used for creating a similar profile to our other staff members, once you have been with TBTN for 6+ months. https://takebackthenight.org/staff-and-volunteers/

Browse Files

Cancelof
Provide a 75-150 word bio sketch. See examples at this page: https://takebackthenight.org/staff-and-volunteers/ *
Availability & Schedule
Which of our organizations are you interested in joining? (select all that apply)*

Campus OutreachTake Back The Night
What is the minimum number of hours per week can you commit to volunteering with us?*
For these volunteer hours, my availability includes: (select all that apply)*

Monday - Friday between 9am-5pm ESTWeekendsEvenings between 5-9pm ESTOther
Other preferred hours
My current time zone is: (Please use the "Other" field to describe if you anticipate changing time zones over the course of your work with TBTN).*

Eastern TimeCentral TimeMountain TimePacific TimeOther
What is your anticipated start date?*
Do you have an anticipated end date? If so, please list the date. If not, please write "N/A."*
Fulfillment of Volunteer/Internship Requirements (if applicable)
Description of requirements (if applicable); include the name
If your volunteer/intern hours will be used to fulfill any type of requirement(s), select all of the following that apply to your situation. TBTN requires notice of your request BEFORE starting work with us. All forms requiring validation from TBTN must be uploaded below.*

None (does not apply to my situation)School internshipSchool community service or volunteer requirementsSchool senior projectRequesting recommendation for a job or school applicationCommunity service requirement from Department of CorrectionsCommunity service requirement from employerCommunity service requirement from any criminal or civil court mandateCommunity service requirement from a college, university, or school policy violation sanctionsOPT (Optional Practical Training) for F-1 international students or other visa work requirementCommunity service requirement from a service organization (Boy Scouts, Girl Scouts, or other)Other mandate to be fulfilled, not described above (explain below)Community service requirement from a faith-based organization
If you are applying for any reason described above, please provide a brief description of your situation. Tell us more about the forms or personal reference you anticipate needing us to complete upon your successful fulfillment of your volunteer/intern hours with us. Include the name, phone number, and email address of any supervisor for this fulfillment. *
Upload all documents you will need TBTN to complete to fulfill your requirements (as marked above). We will send you an official TBTN time log to track and verify your hours and work progress with your TBTN supervisor, if you are selected as a volunteer/intern.

Browse Files

Cancelof
Expectations & Requirements for Volunteers & Interns
For all TBTN volunteers, we require a minimum of 3 months volunteer work with at least 10 hours per week. Do you commit to this requirement?*

Yes = I agreeNo = I do not agree
For all TBTN volunteers, we require a weekly report to your direct supervisor and attendance and participation in at least one TBTN team meeting per month. Do you commit to this requirement?*

Yes = I agreeNo = I do not agree
For an internship, we require a minimum of 3 months of successful volunteer work with at least 240 total hours, as documented in your official TBTN Time Log. If you seek an internship, select Yes below.*

Yes = I seek an internship with TBTNNo = I am not volunteering with TBTN to fulfill a school internship
Because TBTN is 100% volunteer and we value mentorship and investment in our team, we have limited spots for interns. Our interns receive a robust experience, including any of the following: developing core business skills, research experience, leadership and human resources, nonprofit management, web and social media platforms, communications and more. Please provide a short statement describing your commitment to interning with TBTN and why we should select you to join our team.
For recommendations for a job or school application, we require a minimum of 6 months of successful volunteer work with TBTN for at least 360 total hours, as documented in your official TBTN Time Log. If you seek this recommendation, select Yes below.*

Yes = I am seeking a recommendation for a job or school applicationNo = I am not volunteering with TBTN to seek a recommendation
For requests for a reference, we require a minimum of 12 months of successful volunteer work with TBTN for at least 720 total hours, as documented in your official TBTN Time Log, demonstrating superlative work as assessed in a performance review. References are provided at the discretion of TBTN. If you seek this reference, select Yes below.*

Yes = I am seeking a referenceNo = I am not volunteering with TBTN to seek a reference
Note: All volunteer/intern positions are virtual. If you require an in-person experience, please do not complete this application. If you have any questions regarding this stipulation, please contact us here.
Projects & Skills
Select the project(s) below with which you can confidently assist. If you are completing this form based on a Volunteer Match opportunity, please select that project and any additional projects below. If you choose "Other," please list the requested project in the "Other" field below.*

Social Media (FB, IG, etc.)T-shirt or logo designTranscribe video or audio into written EnglishSEOResearch contacts for Excel sheetNewsletter article writingData entryTikTokResearch writers for outreachMusic Compilation ResearchListen to podcast episode and write your own creative descriptionOther
Are you a Law School student or a Pre-Law student?*

Yes, Law School studentYes, Pre-Law studentNo
Which of the following Justice Volunteer/Intern projects would you be interested to work on? Select all that apply.*

Working directly with the Take Back The Night Legal Team (lawyers specializing in sexual violence cases)Research and outreach to national, state, and local resource providers to increase visibility of the National Sexual Asasult Legal HotlineResearch and outreach to Law Schools across the U.S. to create Take Back The Night ChaptersResearch and outreach to Law Firms across the U.S. about joining the Take Back The Night Legal TeamResearch and writing support for Legal Cases alongside Katie KoestnerOther
Additional Items
We’re 100% volunteer driven, and we thrive because our volunteer team believes in our mission and vision. Do you agree to become a TBTN Fan (free) and receive the Take Back The Night monthly newsletter?*

Yes
(Optional) Please add any specific recommendations for improvement to our website (takebackthenight.org) or social media presence.
(Optional) Additional information about your application and interest in volunteering with TBTN:
Where did you hear about the Take Back the Night Foundation?

Media (TV, Print Media)Social MediaSchoolFriends/FamilyOther organizationCan't rememberOther
Where did you find this application?*

Take Back the Night websiteTake Back the Night social media pageEmailed to me by Take Back the Night personnelVolunteermatch post/replyFriend/FamilySchool personnelOther
Share your LinkedIn Account (optional):
Share your Facebook Account (optional):
Share your Twitter Account (optional):
Share your Instagram Account (optional):
Which of our newsletters would you like to receive? (select all that apply)

Campus Outreach ServicesTake Back The Night
Please Follow Us and Help Raise Awareness!
Terms & Conditions
1. REQUIREMENTS FOR VOLUNTEER WORK OR INTERNSHIP

I agree to provide Take Back The Night Foundation (TBTNF), Campus Outreach Services (COS), and/or any of their affiliates, subsidiaries, supporting and/or sponsoring organizations, or otherwise related organizations (hereinafter, collectively, ORGANIZATION) with work products, such as written works, editing, research, images, videos, and other projects as described in correspondence between the ORGANIZATION and myself (hereinafter, VOLUNTEER). VOLUNTEER will be responsible for editing work products, generating final edited materials, and demonstrating excellence in attention to detail, spelling, grammar, honesty, integrity, and any other skills in keeping with ORGANIZATION’S standards for excellence. VOLUNTEER may not reassign any task for completion under this agreement to anyone else with express written permission from ORGANIZATION.

2. TERM OF AGREEMENT

This Agreement covers the time period, number of hours, and/or project duration as agreed to and selected in this form by VOLUNTEER, with any modifications via email or other correspondence between ORGANIZATION and VOLUNTEER. ORGANIZATION retains the right to terminate this Agreement immediately, if VOLUNTEER acts in a manner which violates the standards or compromises the reputation of ORGANIZATION, or if VOLUNTEER submits any false information, plagiarized materials, or otherwise untruthful or dishonest material, especially, but not limited to, any work performed under this Agreement, at any point prior to or during VOLUNTEER’s work with ORGANIZATION.

3. QUALIFICATION FOR REFERENCES AND INCLUSION ON RESUME

Upon successful completion of all responsibilities and obligations under this Agreement and with final written approval from ORGANIZATION, VOLUNTEER may then include this volunteer or intern experience on their resume or other profiles. To list ORGANIZATION as a volunteer or internship experience on a resume, VOLUNTEER must have completed:

- 360 hours for listing a volunteer experience or internship on VOLUNTEER'S resume or LinkedIn profile
- 360 hours for requesting a recommendation for a job or school application from ORGANIZATION
- 720 hours for requesting a reference for a job or school application from ORGANIZATION

All hours must be verified by ORGANIZATION, with official TBTN time log set up prior to start of work with ORGANIZATION.

To list a volunteer experience or internship on any platform or document requires the above in addition to receiving written approval by ORGANIZATION.

Verification of hours requires weekly reports submitted to a direct supervisor of ORGANIZATION, who then approves the completed hours. VOLUNTEER understands that no financial support is provided for work under this agreement. If VOLUNTEER needs ORGANIZATION to complete a form for any third party related to verification of volunteer/internship hours, this must be provided to ORGANIZATION prior to beginning the documented volunteer/internship hours.

4. NOTIFICATION

Any written notification required hereunder to ORGANIZATION shall be mailed by certified mail, return receipt requested, to the following: Take Back The Night Foudnation; PO Box 332; Wayne, PA 19087.

5. COPYRIGHT AND INTELLECTUAL PROPERTY

ORGANIZATION shall own, solely and exclusively, the copyright, all copyright rights, any trademarks, or patents to any written material, codes, applications, or other deliverables produced by VOLUNTEER under this Agreement and/or on behalf of ORGANIZATION. ORGANIZATION shall own, solely and exclusively, the copyright and all copyright rights to any program material that ORGANIZATION provides to VOLUNTEER to use during any work performed under this Agreement.

6. CONFIDENTIALITY AND NON-COMPETE

The VOLUNTEER shall use VOLUNTEER’s best efforts to keep confidential any information about ORGANIZATION’s clients, business ideas, employees, contacts, or the like; provided by ORGANIZATION or any similar oral information conveyed to VOLUNTEER. VOLUNTEER agrees not to use, either personally or on behalf of any other party; disseminate, or in any way disclose any confidential Information of ORGANIZATION to any person, firm or business, except to those employees and agents of VOLUNTEER whose knowledge of the confidential Information is required in order for VOLUNTEER to complete projects and must have prior written approval from ORGANIZATION to do so. VOLUNTEER agrees to: (a) hold all Confidential Information in confidence; acknowledge the ORGANIZATION’S proprietary rights therein and shall exercise at least the same care with respect thereto as it exercises with respect to VOLUNTEER’s own confidential information, but in no event with less than reasonable care; (b) take all reasonable measures to protect the secrecy of and avoid disclosure or use of Confidential Information in order to prevent any Confidential Information from falling into the public domain or the possession of unauthorized persons; and (c) not use, disclose or disseminate or allow to be disclosed or disseminated any Confidential Information to any third party without the prior written consent of ORGANIZATION. VOLUNTEER agrees to notify the ORGANIZATION of any misuse, misappropriation or unauthorized disclosure of any Confidential Information promptly upon becoming aware of any such misuse, misappropriation or unauthorized disclosure by any person including the VOLUNTEER.

7. NON-WAIVER

Waiver or non-enforcement by either party of a term or condition shall not constitute a waiver or a non-enforcement of any other term or condition or of any subsequent breach of the same or similar term or condition.

8. RIGHT TO AMEND

ORGANIZATION retains the right to update or amend any provision in this Agreement at any time.

9. ENTIRE AGREEMENT

This Agreement contains the entire Agreement between the parties and supersedes any other written or oral agreements with respect to the subject matter herein.

10. APPLICABLE LAW

This Agreement shall be deemed to be made in, and in all respects shall be interpreted, construed and governed by and in accordance with, the laws of the Commonwealth of Pennsylvania, without regard to any principles governing conflicts of laws or cannons of construction interpreting written agreements against the draftsperson. Any dispute arising out of this Agreement shall be brought in a court of competent jurisdiction in the Commonwealth of Pennsylvania.

11. ORGANIZATION PROPERTY

VOLUNTEER agrees to keep confidential and return to ORGANIZATION upon termination of this Agreement any property and materials belonging to ORGANIZATION, including but not limited to: manuals, applications, data, software passwords or codes, videos, trade secrets and confidential information, forecasts, names and addresses of ORGANIZATION customers/clients and potential customers/clients, customer/client contacts, sales information, sales forecasts, memoranda, marketing brochures, business or marketing plans, reports, projections, ORGANIZATION contracts with customers/clients or other parties, and any other information or property previously or currently held or used by VOLUNTEER that is or was related to VOLUNTEER’s relationship with ORGANIZATION. VOLUNTEER agrees to not to use any of ORGANIZATION'S property in any other capacity without express, written permission from ORGANIZATION. VOLUNTEER also agrees to cease use of email addresses, passwords, codes, and any other applications or accounts provided to VOLUNTEER by ORGANIZATION under this Agreement.
Please read the terms and conditions above and respond below:*

I hereby agree to the Terms and Conditions of Volunteering as listed above.
Are you of legal consenting age or acting with permission of a parent or legal guardian?*

I am at least 18 years of age, and am acting in my capacity as a legal adult in signing and agreeing to the terms of this form submission.I am less than 18 years of age, and as a minor have the permission of a parent or legal guardian to sign and agree to the terms of this form submission.
Please sign below to confirm your Agreement to the Terms and Conditions above:*

Clear
PARENTAL PERMISSION

I have reviewed the responsibilities and activities of TAKE BACK THE NIGHT FOUNDATION (TBTN) volunteers, and understand that I am encouraged to ask questions about any part of the volunteer program at any time. I agree to bring my questions or concerns to the attention of a TBTN representative should any arise. I understand the terms and conditions for my child to participate in the TBTN volunteer program and agree to support my child in completing and abiding by these terms.

I understand that as a minor (age less than 18 years), the above-named child is not permitted to participate in this volunteer program without my consent and authorization. Therefore, by signing this form, I give my consent for my child’s participation in this program and provide my authorization for my child’s full participation in all aspects of the project, which may include interactions with survivors of sexual violence, research on sexual violence and other sensitive topics and other projects which could be triggering or emotionally challenging.
Please have your parent/guardian sign below to confirm Agreement to the Terms and Conditions above:*

Clear
Today's Date*

MonthDayYear
Should be Empty:

Volunteer / Internship Application and Agreement

Personal Information

Emergency Contact

Demographics

Background

Experience & Bio

Availability & Schedule

Fulfillment of Volunteer/Internship Requirements (if applicable)

Expectations & Requirements for Volunteers & Interns

Projects & Skills

Additional Items

Terms & Conditions