Volunteer Application Step 1 of 3 33% Volunteer and Professional Development ApplicationName* First Last Preferred 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 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 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. Please notify me about maintenance/facility/yardwork 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. NameThis field is for validation purposes and should be left unchanged. Δ
