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Volunteer Application
Sexual Assault and Domestic Violence Center of Yolo County
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Name:
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Birthdate:
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Address:
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City:
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State:
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Zip:
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Home Phone:
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Work Phone:
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Email Address:
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Occupation:
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If you are a student, please list your year and your expected graduation date.
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Position(s) Interested In: ________________________________________________________
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Where did you hear about volunteering for SADVC? __________________________________
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q Check box if you are interested in being contacted to help at SADVC special events.
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The following questions are state mandated as part of the screening process for all volunteer applicants. These questions may also help you to determine if the Center will afford you the type of volunteer opportunity you are seeking. An in-person interview will also be conducted. Please attach your resume to this application.
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1. Please tell us how you became interested in volunteering for the Sexual Assault and Domestic Violence Center.
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2. Please tell us about your experiences working with individuals of different cultures, ethnic backgrounds, and/or lifestyles.
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3. Please tell us about any experiences you have had doing peer counseling.
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4. Are you, or someone close to you, a survivor of domestic violence or sexual assault? If so, please explain.
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5. Have you had an issue with alcohol or other substance abuse, including family members or close friends? Please tell us how you dealt with it.
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6. Have you ever been arrested or convicted of a felony or any other crime? If yes, please explain.
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7. Are you fluent in any other languages (besides English)? Please tell us your level of verbal and written proficiency.
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8. Please tell us about other special skills, training, and/or experience that you have to offer as a volunteer for the Center.
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9. Would you be willing to make a 12-month commitment to SADVC Center? _________
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10. Will you consent to a fingerprint background check? _________
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11. Have you ever been convicted of a felony? _________
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12. Could you attend mandatory monthly In-Service meetings? _________
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13. Can you commit to attending a 65-hour Training Session? _________
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| 14. Are you going to request financial assistance to cover the cost of materials ($75) _________ |
References
Please list three people who are not related to you and have known you for at least one year.
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Relation
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Relation
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Name
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Relation
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Thank you for your interest in volunteering for the Sexual Assault and Domestic Violence Center. It is the ongoing support and commitment of volunteers that help us to achieve our mission: To eliminate sexual assault and domestic violence through sensitive prevention, intervention, and education.
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For office use only
Application accepted Y N
Called for Interview
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Interview scheduled for
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Interview completed Y N
Invited to Training Y N
Accepted Invitation Y N |
Please return application and your resume to:
Sexual Assault and Domestic Violence Center
933 Court Street
Woodland, CA 95695
ATTN: Celina Alveraz
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