RCVCC Volunteer Application

Regional Crime Victim Crisis Center

Assisting Victims and Survivors of Violent Crime
and Working to Prevent Violence

VOLUNTEER APPLICATION

In which program are you interested in becoming a volunteer? (Check one or both)

Crisis Intervention/Victim Assistance

Prevention Education in Community and Schools

Current
Driver's
License?

If you checked interest in Prevention Education
please comment on why you are interested in
presenting to school age children.

What experience or training (if any) have
you had relative to crisis
intervention/anti-victimization?

What experience do you have in public
speaking?

How do you deal with uncomfortable or
embarrassing situations?

What are your strengths?

What are your weaknesses?

How do you deal with stress?

How do you cope under pressure?

Please explain any personal experiences that may enhance, hinder or influence your
effectiveness in supportive responses to victims of violent crimes, law enforcement
authorities, medical personnel, victims of child abuse, CPS or school officials.

If accepted into RCVCC's volunteer
program, do you commit to completing
the required training for the program(s)
you selected?

Crisis Intervention/Victim Assistance shifts are
5:00 pm - 8:30 am weekdays; 8:30 am - 8:30 am
Saturday and Sunday. You are on-call from your
home or cell phone. You do not have to be in the
RCVCC office.

Crisis Intervention/Victim Assistance
40 hours

Prevention Education
16 hours

After completing the training, do you agree to be
responsible for 3 shifts and/or present 3
community/school programs per month?

Have you ever been
convicted of a felony?

Do you agree to provide RCVCC
with a current criminal history and
fingerprint search?

Please tell us what you expect of your
volunteer experience with RCVCC.

After receiving the application we will call
you to begin the interview portion of the
application process. Please be prepared to
provide names and phone numbers of 3
personal references.

Clicking the "reset" button will clear all
information you have entered on this form.

You may submit your application
online below, or download the
pdf version to fax or mail.

Request a fingerprint
background and criminal
history record.
Cost: Approx.. $25.00

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