VSU Volunteer & Internship Application

HAMPTON VICTIM SERVICES UNIT VOLUNTEER & INTERNSHIP APPLICATION
Thank you for your interest in volunteering or interning with the Hampton Victim Services Unit. Our organization appreciates and depends on people like you who want to assist victims of crime. The purpose of Hampton Victim Services is to assist victims and witnesses with their involvement throughout the criminal justice process in the city of Hampton. Our goal is to ensure that the rights of victims and witnesses are not overlooked. We want to minimize any frustrations associated with coming to court by providing appropriate information and services to crime victims and witnesses.

Hampton Victim Services Unit Volunteer/Student Internship Program will recruit, train, and place volunteers and interns in positions to work with victims, witnesses, attorneys, law enforcement, and Victim Advocates. The volunteers and interns will allow the Victim Services program to serve victims and witnesses in a more efficient and effective manner.

All areas of the application must be completed. Incomplete applications cannot be processed and may result in a delayed response. Resume- all interns must attach a resume to the application Personal references- list two personal or professional references Schedule- please list a tentative schedule Certification page/Background check- please sign and date. Volunteers and Interns cannot have any felony or misdemeanor convictions.

Once an application has been received and screened, the Volunteer Coordinator will contact prospective interns and volunteers to schedule an interview. A background check will be conducted after the interview.

Volunteers and Interns who have been accepted will be notified via phone or email.

All volunteers and interns are required to attend a training session conducted by the city of Hampton Human Resources Department before they begin work. There will also be an on-the-job training at the Victim Services Unit office. All volunteers and interns must be at least 18 years of age and must be available to work a minimum of 10 hours per week.

Please feel free to contact us with any questions at 757-726-6978. Please return all completed applications to: Hampton Victim Services Unit Volunteer/Intern Coordinator 236 N. King Street Hampton, VA. 23669 Or by fax to: 757-726-6917 Thank you again for your interest in helping us serve victims and witnesses of crime.

VOLUNTEER AND STUDENT INTERNSHIP APPLICATION
Name

First nameMiddle NameLast name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Zip
Cell Phone
Format: (000) 000-0000.
Email Address
example@example.com
Name of Emergency Contact
Relationship
Phone
Format: (000) 000-0000.
Current employer
Phone
Format: (000) 000-0000.
Address

Employer street address

Street Address Line 2

citystate

zip

Education & Experience
What school are you attending?
Classification (Senior, Graduate, etc)
What is the highest level of education you have completed?
High School
College
Graduate School
Other Education
Number of hours required by Internship
If you are volunteering outside of an internship how many total hours are you requesting?
What is the time frame for completing your hours? (Dates, Time)
Start date

MonthDayYear
Date
End date

MonthDayYear
Date
Please provide a tentative schedule of your available hours. Volunteers and Interns should be available at a minimum of 10 hours a week. Hampton Victim Services Unit will try to accommodate your schedule.
What do you hope to gain from volunteering/interning with Hampton Victim Services Unit?
Do you have any previous or personal experience working with victims of crime? If so please elaborate:
There may be times when volunteers/interns are needed to work on a Saturday Would you be available to work on a Saturday if needed?
List any specialized skills that you possess or trainings that you have attended (ex: Second languages, mediation skills, counseling experience etc.)
List any organizations to which you belong:
Criminal Background Information
Have you ever been arrested or convicted of a crime?
Have you ever been placed on probation?
Do you know someone who currently or previously has a CRIMINAL case pending in the Hampton Commonwealth Attorney's Office?
Previous Work/Volunteer/Internship Experience
Agency or Organization
Address

Address

Street Address Line 2

CityStateState / Province

Zip
Position
Supervisor's Name
Supervisor's Number
Format: (000) 000-0000.
Dates of employment

MonthDayYear
Date
Duties and Responsibilities
Agency or Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Supervisor's Name
Format: (000) 000-0000.
Supervisors Name
Duties and Responsibilities
PERSONAL REFERENCES:
Please list two (2) references (not related to you) who can speak to your character, work habits, or former volunteer work.
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
I HEREBY CERTIFY that all statements made on this application are true, correct, and complete to the best of my knowledge. I give the HAMPTON VICTIM SERVICES UNIT the right to investigate all information contained in this application and to secure additional information about me if related to my volunteer/internship position. I hereby release from liability the HAMPTON VICTIM SERVICES UNIT and its representatives for seeking such information and other persons, corporations, or organizations for furnishing such information. Also, as a condition of volunteering/interning, I hereby authorize the HAMPTON VICTIM SERVICES UNIT to conduct a background check. I am aware that any omissions, falsifications, misstatements, or misrepresentations above may be grounds for termination or volunteer/intern services. Additionally, I understand that I must disclose to the HAMPTON VICTIM SERVICES UNIT any future arrests, and/or convictions or adjudications of guilt withheld which may occur during my tenure with the HAMPTON VICTIM SERVICES UNIT and that failure to do SO may result in my dismissal. I understand that all volunteers/interns of the HAMPTON VICTIM SERVICES UNIT are at will. Both the volunteer/intern and HAMPTON VICTIM SERVICES UNIT have the right to terminate service at any time for any reason.
Name
Signature
Resume

Cancelof
Take Photo
Date

MonthDayYear
Date
Should be Empty:

HAMPTON VICTIM SERVICES UNIT VOLUNTEER & INTERNSHIP APPLICATION

VOLUNTEER AND STUDENT INTERNSHIP APPLICATION

Education & Experience

PERSONAL REFERENCES: