SAFER Workgroup Volunteer Interest Form

Sexual Violence Prevention Program

Volunteer Interest Form
SAFER is a collective movement designed to bring together a diverse group of individuals who share a passion for and commitment to ending sexual violence in Outagamie County. As a community-based program, SAFER volunteers will develop and execute community programs that challenge thinking and inspire change. The experience gained from working with SAFER programs will prepare individuals with the leadership abilities and knowledge necessary to make key decisions affecting their organizations, the community and themselves within the realm of sexual safety and respect. Please apply below to join a community ending sexual violence.
Full Name *

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State

Zip Code
Employer *

Business/Organization

Street Address

City State

Zip Code
Title
Type of Business/Organization
Primary Phone Number *
Secondary Phone Number
Primary E-mail *
example@example.com
Secondary E-mail
example@example.com
Work Group Preference (select all that you are interested in)

Community Relations Data & Evaluation Programs for Youth & Teens Programs for Adults
Tell us about you in your own words...

We want to understand your passion for SAFER's mission and how your interests align with our vision.
What do you hope to get from being a SAFER volunteer?
I can commit to monthly work group meetings - Days/times/locations TBD

Yes No
Please submit your application, and someone will contact you you to talk about your interest in being part of the SAFER movement.

Thank You!
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Sexual Violence Prevention Program