Volunteer Application Step 1 of 3 33% Volunteer and Professional Development ApplicationName* First Last Preferred Gender Pronouns She/her He/him They/them Phone*Email* Enter Email Confirm Email Address 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth* MM slash DD slash YYYY All DVSAS Volunteers are required to pass a criminal background check. Do you know of any reason you would not pass one? Yes No How did you hear about DVSAS? Are you seeking to take the Advocacy Counselor Training for professional development purposes for another agency/personal development?* Yes No If yes, please tell us which agency you are affiliated with: Volunteer Interests and AvailabilityInterested in:Please check all opportunities that interest you. Please notify me when the next Advocacy Counselor Training is coming up. Please notify me about administrative opportunities. Please notify me of tabling/outreach opportunities. Please notify me of childcare opportunities. Schedule AvailabilityBecause DVSAS offers help 24 hours a day, and has many community activities during evenings and weekends, volunteer shifts are available during many different times of day. Please let us know when you would be available. This does NOT commit you to volunteering during these days or times. During Business Hours (Between 9 am and 5 pm, Monday through Friday) Weekday Evenings (5 pm - 9 pm) Weekends Overnight (9 pm - 9 am) Skills and ExperienceLanguageLanguages Spoken: English Spanish Russian Ukrainian American Sign Language Other Please indicate other languages spoken: Please indicate fluency of Spanish: First Language Fluent Intermediate Minimal Please indicate fluency of Russian: First Language Fluent Intermediate Minimal Please indicate fluency of Ukranian: First Language Fluent Intermediate Minimal Please indicate fluency of American Sign Language: First Language Fluent Intermediate Minimal Personal ExperienceAre you a survivor of domestic violence or sexual assault?* Yes No Have you accessed DVSAS services in the past 12 months?* Yes No Many advocacy counselors and volunteers are also survivors and we encourage you to apply. We suggest individuals who have experienced violence or accessed services to concentrate on their own healing and wait for at least one year before applying to volunteer. For questions, or to discuss further, please contact the Administrative Office at 360.671.5714.Tell us your story.*In your own words, please tell us why you'd like to volunteer with DVSAS. Please feel free to include any relevant personal or work experience, education or training. PhoneThis field is for validation purposes and should be left unchanged. Δ
