Black Women Revolt Volunteer Application Form

Volunteer Application
Black Women Revolt Against Domestic Violence continues to rapidly grow and our needs vary from month to month. We welcome volunteers who are aligned with our mission to volunteer. Volunteers work on a variety of tasks such as:
- Helping with the distribution of basic need kits to survivors
- Assisting with our Survivors Retreat
- Securing donations for survivors (food, household items)
- Researching current policies that impact survivors
- Providing personal services to survivors such as: haircuts, resume writing, nail appointments, moving assistance
- Back-to-School Give-Away support
- Holiday Giveaway support
- Outreach Support (speaking about our agency at events)
- Crisis Line (requires 44-Hour DV Training Course and a 1-year commitment to volunteer 4 hours a week). For additional information please email info@blackwomenrevolt.org
Name

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background
Occupation
In which areas would you like to volunteer?
Which of the volunteering activities interest you?
Do you have any volunteering experience? If yes, please describe.
Select your available days
From

:HourMinutesAM/PM Option
To

:HourMinutesAM/PM Option
Date

MonthDayYear
Date
Signature
Should be Empty: