Volunteer Application Step 1 of 3 33% Volunteer and Professional Development ApplicationName* First Last PronounsShe/herHe/himThey/themPhone*Email* Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Date of Birth* All DVSAS Volunteers are required to pass a criminal background check. Do you know of any reason you would not pass one?YesNoHow 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?*YesNoHave you accessed DVSAS services in the past 12 months?*YesNoMany 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.