SAVE’S VOLUNTEER APPLICATION Direct Service Applicants: This application will serve as the first step in your enrollment for our 40-hour DV Advocate Training. All sessions must be attended in full in order to receive your certificate, and all Direct Service Volunteers must be at least 18 years of age. Visit our “Become a DV Advocate” page or email [email protected] to learn more! Support Service Applicants: Your role will not require participation in SAVE’s 40-hour DV Advocate Training. Support Service Volunteers must be at least 16 years of age. Visit our “Support the Movement” page or email [email protected] to learn more! Date MM slash DD slash YYYY Name(Required) First Last Pronouns Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Alt. PhoneEmail(Required) If presently employed, name of Employer Position Work PhoneDoes your company participate in a Volunteer Matching Program? Ethnicity (Some funders require us to report this info.): Person(s) to contact in case of emergencyName(Required) Name Relationship to you(Required) Home Phone(Required)Work PhoneEducation and Work ExperienceDo you have a high school degree? Yes No List schools attended:School (s) AttendedField of StudyDegree Add RemoveList work experiences, starting with the most recent or attach resume:Employer NameJob TitleBrief summary of workDates employed Add RemoveGeneral QuestionsPlease answer questions as detailed as possible.Describe any previous volunteer experience:(Required)Have you volunteered at SAVE before?(Required) Yes No Have you taken the 40-hour Domestic Violence Counselor training?(Required) Yes No Date MM slash DD slash YYYY Indicate skills/ special interests/ foreign or sign language skills:Which volunteer position/ areas are you interested in? (Please check all that apply.)(Required) General Administrative Direct Service- Crisis Intervention Direct Service- Client Accompaniment Direct Service- Front Desk Intake Assessments Translation Services Technical Assistance Community Outreach Research Fundraising & Events Select All**All Direct Service positions require a 40-hour DV Advocate certificate. Check out SAVE’s website for upcoming 40-hour training courses!How long do you plan to volunteer? (Check one) Less than 1 month 2-6 months 7-12 months More than a year **All Direct Service positions require a minimum commitment of 6 months and 100 hours after completion of 40-hour certificate.How many hours will you volunteer per week?Please write the times you are available on each day: (SAVE requests all Administrative Volunteers to commit to at least once a week for either 9-1pm or 1-5pm.)MondayTuesdayWednesdayThursdayFriday Add RemoveCan you commit to a set schedule every week? Yes No Date available to start: MM slash DD slash YYYY Is it necessary for you to limit your physical activity in any way or do you require any additional accommodations?(Required)ReferencesPersonal or Professional References (please exclude relatives)Name Name PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Relationship to you: Name Name PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Relationship to you: Consent THE ABOVE INFORMATION IS ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE. Your signature indicates your approval for us to check your references. Successful completion of a background investigation is required for placement. SAVE is not obligated to provide a placement, nor are you obligated to accept the position offered. Signature(Required)Date(Required) MM slash DD slash YYYY CAPTCHA