Volunteer Application

Name (First, Last) *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone *

Preferred method of communication: *

Phone

Birth Date (MM/DD/YYYY) *

Are you currently working or studying? *

Working

Studying

Neither

If you're working or studying, where? *

Have you received services from CRCC in the past 2 years? *

Yes

How did you hear about us? *

Please select all current opportunities that interest you: *

Client Service Volunteer

Please share why you would like to volunteer at an organization that supports survivors of rape and sexual abuse. *

Name three things that you hope to gain from your volunteer work. *

Please list any past or present volunteer experiences. *

Have you ever been convicted of a felony? *

Yes

If yes, please indicate the offense, date, location, and explain as needed.

Please provide the names and email addresses of three non-relative references. A professional reference form will be sent to them asking about your character and reliability once you begin the training portion of the program. *

I am willing to participate in all screening, background checks, orientation and training necessary to become a volunteer with Cleveland Rape Crisis Center. *

Yes

I understand that my attendance is required at each training session in order to successfully complete training and become an active volunteer. *

Yes

I certify that I am over the age of 18. *

Yes

I have been honest and accurate in my completion of this application. *

Yes

(Optional) Would you like to sign up to receive news and announcements from Cleveland Rape Crisis Center via email?

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