Domestic Violence Center of Chester County, Inc.
P.O. Box 832
West Chester, PA 19381-0832
Hotline (888) 711-6270 Office (610) 431-3546 Fax (610) 431-2462
Volunteer Application
Name:
Address:
Home Phone:
Work Phone:
Email Address:
Occupation:
Student's state term and major:
Check any of the following experiences that may apply:
Community Work
Education/Child Care
Drug/Alcohol abuse work
Fundraising
Social Work
Proposal Writing
Legal Work
Organizational Skills
Experience with the court system
Writing Skills
Group Leader
Public Relations
Working with women
Clerical
Please tell us about any special abilities, skills, and interests that you possess:
Do you have a driver's license?
Select
Yes
No
Access to/own a car?
Select
Yes
No
How did you learn about the center?
Can you speak any other languages? (Specify)
What do you hope to gain from your volunteer experience with the Center?
What are the hours/days you would be available?
Please check the volunteer activities in which you might be interested:
Counseling:
Individual
Group
Hotline
Court Accompaniment
Shelter Maintenance
Fundraising
Clerical/Computer Work
Childcare/Activity
Committee Member
Public Speaking/Training on Domestic Violence
Community Outreach/Advocacy
Food Shopper
Donations Pick-up
Closet Organization
Research
Given the option, would you prefer to be trained on:
Saturdays (9 a.m. - 5 p.m.)
two weeknights (6 p.m. - 9 p.m.)
two weekdays (9 a.m. - 1 p.m.)
References: (Name and phone number please)
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