RCC Volunteer Application

Thank you for your interest in volunteering with the Resource & Crisis Center of Galveston County! Our volunteers directly contribute to the success of our agency and our ability to make our mission a reality.

Please fill out the information below to apply to be an individual volunteer. All questions must be completed factually. If a question does not apply to you, note "N/A". Volunteers must be at least 14 years of age. Any volunteer between ages 14 and 17 requires parent consent.

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

E-mail*

Phone Number*

Area CodePhone Number

Organization/Affiliation

Are you volunteering to fulfill a class requirement? If yes, how many hours required?

How did you hear about the Resource & Crisis Center?*

Please share details about how you found out about RCC. If you heard from a Board Member, staff member, or volunteer, please list their name - we'd like the thank them!

Special Skills, Hobbies, or Languages:

Do you have any experience working with victims of domestic violence and/or sexual assault? If yes, please explain.*

How do you feel about talking to people about their experience with domestic violence and/or sexual assault?*

Have you been convicted of a misdemeanor or a felony? If yes, please explain:*

Emergency Contact*

First NameLast Name

Relationship to you:*

Primary Phone*

Area CodePhone Number

Do you have any existing health conditions? If yes, please describe:*

If I should become ill/injured during volunteer activity, RCC will contact the person listed above. If unable to reach that person, I authorize RCC to arrange emergency treatment to ensure my health and safety and accept responsibility for payment of medical services rendered.*

I agree

I hereby certify that the information provided above is true and accurate and subject to verification by the Resource & Crisis Center of Galveston County. I also agree to comply with all rules and regulations of RCC. I understand that completion of this form does not constitute acceptance as a RCC volunteer and that certain positions may require more extensive screening and/or training.*

Applicant Signature

A parent/guardian must complete the following for volunteers under 18 years of age.

I have read the above statements and accept the same as condition of my child's volunteer service with the Resource & Crisis Center of Galveston County.

Parent/Guardian Name

First NameLast Name

Parent/Guardian Signature

Please select which area(s) you are interested in volunteering your services.