CADASI Volunteer Application

Christine Ann Domestic Abuse Services, Inc.

Thank you for your interest in volunteering. Christine Ann Domestic Abuse Services offers support, education, and options to all domestic abuse victims.

We are committed to ending the cycle of violence by providing safety, support, and advocacy and cultivating community awareness through collaborative education and prevention programs.

We believe that each individual has value and worth, therefore:

No one has the right to abuse another person.
No one should live in fear of abuse in their own home.
Everyone should be empowered to make decisions regarding their own life.

We appreciate your interest in volunteering to stand against violence. Once your application is received, processing and review may take two to three weeks.

If you have any questions, please don't hesitate to contact us at (920)-230-2913.

We look forward to hearing from you soon!

Question Title

* 1. Please fill out the following information

Name (first, Middle Initial, last)

Previous/Maiden name

Pronouns (she/ her, he/him, they/ them etc..)

Date of Birth

Phone #

Email Address

Current address (street address, city, state, zip)

Current Employer

Occupation

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* 2. Why you want to volunteer

Why did you choose Christine Ann Domestic Abuse Services Inc?

What does domestic violence mean to you?

Do you have experience working in a trauma informed environment?

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* 3. Areas of interest for volunteering

Internship- Crisis / Help Line

Internship- Fundraising & Marketing

Children's Program- Wednesdays 5:45-7:30pm

Children's Program- Thursdays 5:45-7:30pm

Shelter Support- restocking, donation sorting, organizing

Office Cleaner- Consistently clean office areas on bi-weekly basis

Self-Care- Teach a form of self-care

Fundraiser- Participating in upcoming events

Fundraising Preparation- join our event committee/ event crafts

Movers- Individuals with trucks or large vehicles with the ability to support and assist our clients in their transition to moving into their new living arrangements

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* 4. Please Answer the Following Questions

Please provide any special skills/qualifications you have acquired from employment, volunteer work, or other activities related to volunteer interests.

How do you respond in stressful situations?

Are there any special accommodations required for you to volunteer?

Please list any other organizations you have volunteered for including dates and volunteer position.

Please list any languages that you speak, read or write in.

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* 5. Please Answer Yes or No to the Following Questions

	Yes	No
Have you ever been convicted of any criminal offense, either misdemeanor or felony, other than minor traffic violations?	Have you ever been convicted of any criminal offense, either misdemeanor or felony, other than minor traffic violations? Yes	Have you ever been convicted of any criminal offense, either misdemeanor or felony, other than minor traffic violations? No
Are you currently charged or under investigation for any violation of the law other than minor traffic violations?	Are you currently charged or under investigation for any violation of the law other than minor traffic violations? Yes	Are you currently charged or under investigation for any violation of the law other than minor traffic violations? No

If yes to either question (please specify)

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* 6. Please answer the following questions

Have you ever received services from Christine Ann Domestic Abuse Services Inc?

If you have received services from Christine Ann, please list dates of contact and advocates you worked with

Are you volunteering to fulfill a community service/ court requirement?

If volunteering to fulfill a requirement, where and who does your requirement come from and how many hours are needed to complete

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* 7. Please specify your days and times available below

	Morning	Afternoon	Evening	N/A
Monday	Monday Morning	Monday Afternoon	Monday Evening	Monday N/A
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Evening	Tuesday N/A
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Evening	Wednesday N/A
Thursday	Thursday Morning	Thursday Afternoon	Thursday Evening	Thursday N/A
Friday	Friday Morning	Friday Afternoon	Friday Evening	Friday N/A
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening	Saturday N/A
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening	Sunday N/A

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* 8. Reference 1:

Name

Relationship (Professional/Personal)

Email Address

Phone Number

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* 9. Reference 2

Name

Relationship (Professional/Personal)

Email Address

Phone Number

Question Title

* 10. Reference 3

Name

Relationship (Professional/Personal)

Email Address

Phone Number

Question Title

* 11. Please type your first and last name to indicate permission for Christine Ann Domestic Abuse Services, Inc. to contact the references listed to discuss suitability as a volunteer

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* 12. Please type your first and last name below to indicate the following:
By submitting this application, I affirm that the facts outlined in it are accurate and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
I understand the safety of the clients using a domestic abuse shelter and services, and the privacy and confidentiality of these victims are of paramount importance. I acknowledge that these considerations require the agency to screen people seeking to volunteer carefully. Further, I understand and acknowledge that the decision about who will be accepted to volunteer and for what activity rests solely within the agency's discretion.
By signing below, I now authorize Christine Ann Domestic Abuse Services, Inc., to investigate any information in the attached volunteer application. I understand this may include information on my education, employment, and prior legal proceedings. I authorize any schools, law enforcement agencies, or others to supply any information requested concerning me.