Volunteer Application Form

Thank you for your interest in volunteering with Verity. Please read over and acknowledge that you meet the following eligibility requirements:

Applicants must be over the age of 18 years of age.
Applicants must be willing/able to work with diverse populations (cultural, racial, socioeconomic, religious, sexual orientation, etc.).
Sexual assault survivors must be emotionally ready to assist other survivors and be no less than a year past their own assault/abuse experience.
Applicants must give consent for and understand that Verity will require Livescan fingerprinting.
Applicants must be able to attend all training sessions or be willing to make up any missed sessions.
Applicants must commit to a minimum of 6 months of volunteering upon completion of the Verity CLC training.
Past or present perpetrators of sexual or physical abuse and/or any violent crime are not eligible to participate in Sexual Assault Counselor Training.

Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Date of Birth

Date

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Attestations

I am over 18.*

YesNo

I am willing/able to work with diverse populations (cultural, racial, socioeconomic, religious, sexual orientation, etc.).*

YesNoUnsure

I am emotionally ready to assist other survivors, and I am at least a year past my own assault/abuse experience.*

YesNoUnsure

I understand that Verity will require Livescan fingerprinting and a state and federal background check..*

YesNo

I am able to attend all training sessions or be willing to make up any missed sessions (no more than two).*

YesNoUnsure

I am able to commit to a minimum of 6 months of volunteering upon completion of the Verity CLC training.*

YesNoUnsure

I have never perpetrated sexual or physical abuse and/or any violent crime.*

TrueFalse

I have a valid driver's license and current proof of insurance.*

YesNo

Volunteering Information

Do you have other skills that you are willing to volunteer for Verity's mission? (choose any/all that apply)

Other skills

Language Fluency

EnglishSpanishOther

Other languages, if applicable

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Phone Number*

Please enter a valid phone number.

Emergency Contact Relationship*

Is there anything else that would be helpful for us to know about you?

0/2000

Has been perpetrator

YesNo

Interest

Volunteer TrainingCrisis Line Counselor/Victim AdvocateSexual Assault Prevention Educator

Crisis Line Counselor Application