Volunteer Application
Thank you for your interest in volunteering with the Family Abuse Center! This questionnaire is for the Volunteer Coordinator to get to know a little about your interests and your availability for the semester, year, etc. If you have any questions about this form please email: Makayla.Smith@familyabusecenter.org.
Community Service for Tickets, Pre-Trial Intervention, or County Requirement
If you are needing to complete Community Service hours for a ticket, Pre-Trial Intervention, or any other McLennan County or County requirement, you cannot complete these hours with the Family Abuse Center. Please inquire about other agencies and organization you can volunteer at. The County requiring Community Service should have a list of all the organizations that you can complete your required community service hours.
Demographic Information
1. Name
*
First Name
Last Name
2. Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3. Phone Number
*
Please enter a valid phone number.
4. Email
*
example@example.com
5a. Emergency Contact
*
First Name
Last Name
5b. Emergency Contact Phone Number
*
Please enter a valid phone number.
6. Gender
*
7. Race
*
African American
American Indian
Anglo
Asian
Hispanic
Other
8. Date of Birth
*
-
Month
-
Day
Year
Date
9. Age
*
10. Highest Level of Education Completed
*
Middle School
High School
Technical School
College - Associates
College - Bachelors
College - Masters
Other
Screening Questions
11. Do you have any personal or professional experience working with victims of domestic violence?
*
12. I'm interested in working with individuals and families who have experienced domestic violence at the Family Abuse Center because:
*
13. I feel that I would be a good volunteer in this environment because:
*
14. List any community groups in which you are presently active (professional associations, faith communities, service organizations, etc.):
*
15a. Have you or your family had personal experience with any of the the following? (Check all that apply)
*
Domestic Violence
Homelessness
Child Protective Services
Victims of any other violent crime
None of the above
15b. If you checked yes to any of the above, please provide a brief explanation below.
16a. Within the past year have you experienced any of the following?
*
Been hospitalized for an emotional/psychological issue
Used illegal drugs
Abused illegal drugs or alcohol
None of the above
16b. If you checked yes to any of the above, please provide a brief explanation below.
Volunteer Program Questions
17. Availability to Volunteer (Select All That Apply)
*
Monday Mornings (8:00am to 12:00pm)
Monday Afternoons (12:00pm to 5:00pm)
Monday Evenings (5:00pm to 9:00pm)
Tuesday Mornings (8:00am to 12:00pm)
Tuesday Afternoons (12:00pm to 5:00pm)
Tuesday Evenings (5:00pm to 9:00pm)
Wednesday Mornings (8:00am to 12:00pm)
Wednesday Afternoons (12:00pm to 5:00pm)
Wednesday Evenings (5:00pm to 9:00pm)
Thursday Mornings (8:00am to 12:00pm)
Thursday Afternoons (12:00pm to 5:00pm)
Thursday Evenings (5:00pm to 9:00pm)
Friday Mornings (8:00am to 12:00pm)
Friday Afternoons (12:00pm to 5:00pm)
Friday Evenings (5:00pm to 9:00pm)
Saturday Mornings (8:00am to 12:00pm)
Saturday Afternoons (12:00pm to 5:00pm)
Saturday Evenings (5:00pm to 9:00pm)
Sunday Mornings (8:00am to 12:00pm)
Sunday Afternoons (12:00pm to 5:00pm)
Sunday Evenings (5:00pm to 9:00pm)
18a. Can you speak, read, and/or interpret another language? (If your answer is no, continue to question 19)
*
Yes
No
18b. If you answered yes for 18a, what language(s)?
Example: Spanish, ASL, French, Creole, etc.
19a. Are you needing to complete volunteer hours as a requirement? (If your answer is no, continue to question 20)
*
Yes
No
19b. Are you needing to complete volunteer hours as a punishment (court-ordered, probation, citation, or otherwise) for McLennan County or any other county?
*
Yes
No
19c. If you answered yes for 13a, by what date do you need to complete your volunteer hours by?
-
Month
-
Day
Year
Date
19d. If you answered yes for 13a, how many hours are required?
19e. Name of course/organization/scholarship requiring volunteer service?
20. Skills and Experience (Select all that apply)
*
Administrative/Clerical
Health and/or Physical Fitness
Public Speaking and/or Tabling Events
Translation
Working with Children and/or Youth
Repair and Maintenance Work
21. Volunteer Opportunity Area of Interests (Select all that apply)
*
Children's Group (Free play, support group activities)
Handyman/woman
Landscape/Gardening
Motivation Station (Homework help, tutoring, educational activities)
Moving Furniture
Organizing/Cleaning
Pet Fostering (No more than 2 weeks)
Resident Advocate Assistant
Hotline Volunteer
22a. Have you ever been a paid employee of Family Abuse Center? (If your answer is no, continue to question 23)
*
Yes
No
22b. If you answered yes for 22a, what were the years of employment?
Example: 2013-2014
23. My current hesitations or concerns regarding my participation with or commitment to the Family Abuse Center at this point are:
*
24. Would you like to receive our monthly volunteer newsletter for updates, opportunities, and other FAC related information?
*
Yes, subscribe me to this newsletter.
No, thank you.
References & Phone Screen
Please list one personal reference and one professional reference. Your references may be contacted if we have follow-up questions or need to clarify information. You may also be contacted to do a phone screen with the Volunteer Coordinator. The purpose of the phone screen is to further clarify expectations and ensure a good fit between our organization and volunteers.
Reference #1
First Name
Last Name
Reference #1 Email
example@example.com
Reference #1 Phone
Please enter a valid phone number.
Reference #2
First Name
Last Name
Reference #2 Email
example@example.com
Reference #2 Phone
Please enter a valid phone number.
Next Steps:
Please be on the lookout for an email from Makayla.Smith@familyabusecenter.org in response to your submitted application. It may be sent to the Spam/Junk folders. If you have any questions about this form please email: Makayla.Smith@familyabusecenter.org
Submit
Should be Empty: