Free to Live — Volunteer Application 🌸💜
Please complete this form to express your interest in volunteering with us.
Your Information
Full name
*
First Name
Middle Name
Last Name
Preferred name
Email
*
example@example.com
Phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City and state
*
Best way to reach you
Email
Phone call
Text message
Are you 18 or older?
*
Yes
No
Role Interest
Which role(s) are you applying for?
*
Program Director (5–10 hrs/week)
Program Coordinator (3–6 hrs/week)
Open to either
Event volunteer
Other
How many hours per week can you commit?
*
3–5 hours
5–10 hours
10+ hours
Varies
Days and times you’re typically available
How long can you commit?
*
Please Select
3 months
6 months
1 year
Ongoing
Not sure yet
Experience & Skills
Relevant experience
*
Do you have nonprofit, social services, or program management experience?
*
Yes
No
Skills you bring to this role
*
Leadership
Event planning
Communication
Social media
Fundraising
Grant writing
Public speaking
Spreadsheets/admin
Community outreach
Trauma-informed care
Other
Professional certifications or training relevant to this work
About You & This Work
Why do you want to volunteer with Free to Live?
*
Have you been personally affected by domestic violence?
*
Yes – I'm a survivor
Yes – family member or loved one
Yes – as an advocate or professional
No
Prefer not to say
Background & References
Are you willing to complete a background check?
*
Yes
No
Background check note
Reference 1 name
*
First Name
Middle Name
Last Name
Reference 1 relationship
*
Reference 1 email
*
example@example.com
Reference 1 phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 name
*
First Name
Middle Name
Last Name
Reference 2 relationship
*
Reference 2 email
*
example@example.com
Reference 2 phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Have you ever been convicted of a violent crime, sex offense, or crime against a child?
*
Yes
No
Final
Anything else you’d like us to know
How did you hear about Free to Live?
Please Select
Social media
Friend or family
Community event
Search
Other
Acknowledgment
*
I understand that Free to Live serves survivors of domestic violence and their children, and I commit to confidentiality, trauma-informed care, and the safety of those we serve.
E-signature
*
Date
*
-
Month
-
Day
Year
Date
Resume
Upload a File
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of
LinkedIn profile (URL)
What best describes your primary motivation?
Looking for experience
Trying to fill my time
Passion because I am a survivor or know someone that was a survivor
Want to give to a good cause
Other
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