| Volunteer Application
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| Name * |
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| Address * |
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| Phone * |
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| Email * |
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| Birthdate (MM/DD/YYYY) * |
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| Occupation * |
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| Have you had any related volunteer or work experience? * |
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| How did you learn about the Collins Center? * |
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Why would you like to volunteer at the Collins Center? If are volunteering for a class, please describe the requirements you must
meet. * |
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| What are some of your personal strengths that you will bring to this volunteer commitment? * |
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Are there any issues related to sexual assault that might be difficult for you to deal with during your volunteer work? (Issues addressed in
our office can be difficult for everyone, but can be especially challenging for people who have experienced assault or abuse. If you are a survivor please inform us when filling out this
application so that we can best meet your needs.) * |
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| Are there any topics related to sexual assault you would like to learn more about? * |
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Please list two references (name, phone number and relationship to you). Include at least one from your program of study.
* |
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| Please describe any foreign language experience you may have. * |
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| Image Verification |
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