Volunteer Application

Volunteer Application

Thank you for showing interest in becoming a Victim Advocate with Juniper Southern Colorado! Our Volunteer Victim Advocates serve as crisis interventionists, responding to calls on our 24/7 confidential crisis hotline. We provide confidential advocacy and support to primary and secondary survivors of sexual violence. Please fill out this application and our Volunteer Program Coordinator will contact you soon. Thank you!
Name

First NameLast Name
Pronouns
Date of Birth

MonthDayYear
Must be 18 Years of Age or Older
If other, please describe
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Form of Communication

Other
Are you currently a Student?
Area of Study
If yes, please provide the name of institution
Are you Currently Employed?

Other
If yes, please provide the name of your current employer
What interested you in this volunteer position?
Have you volunteered in the past? If so, where did you volunteer, what were some of your duties, and what you did enjoy?
Are you able to attend the full 35-hour online training needed to become a privileged, confidential victim advocate?
Are you able to attend monthly volunteer meetings?
Are you able to participate in at least 4 continuing education opportunities throughout the year?
Do you speak any other languages than English?
If yes, please describe
In the last three (3) years, have you been enrolled in any advocacy services with Juniper SoCO?
Is there anything else you would like for the Volunteer Program Coordinator to know?
Reference #1

Name:First Name*   Last Name*

Relationship:*

Phone Number:Area Code*   Phone Number*

Email:Email

Years Known:   Number*

May we contact this person?   Yes   No*
Reference #2

Name:First Name*   Last Name*

Relationship:*

Phone Number:Area Code*   Phone Number*

Email:Email

Years Known:   Number*

May we contact this person?   Yes   No*
Resume

Cancelof
Signature
Should be Empty: