Volunteer Application

Thank you for your interest in volunteering for the Dallas Area Rape Crisis Center. Please complete the following application if you would like to volunteer with us. When your completed application is received by the Volunteer Coordinator, you will be scheduled for a personal interview. You will be informed of the sensitive and sometimes challenging nature of sexual assault treatment/trauma work. Policies and procedures are reviewed, including ethics, continuing education, and confidentiality requirements. You are encouraged to ask questions and express any concerns that you may have during this process. During the interview, we will discuss the training requirements, and your schedule.

PLEASE DO NOT use a Yahoo email address or Google Chrome Web Browser when submitting your application.

Due to technical issues, Yahoo email addresses and Google Chrome Web Browser are incompatible with the submission process.

Personal Information:

First name: *

Last name: *

Street Address: *

Street Address 2:

City: *

State: *

Zip Code: *

Phone Number: *

Phone Number (work):

Date of birth: (MM/DD/YY) *

Employer (or if full-time student, university): *

Are you bilingual? If so, please specify what other languages you are fluent in: *

PLEASE USE A NON-YAHOO EMAIL ADDRESS. Due to technical glitches, our website cannot receive applications affiliated with Yahoo email accounts.
Email address: *

Volunteer Opprtunities:

Please check all volunteer opportunities you are interested in: *
Crisis Advocacy (Crisis Hotline) Cell phone requiredHospital Advocacy (Face-to-Face) Car requiredOutreach/Education (Presentations)Fundraising/Events (Organization, Event Help, Clerical)Resource Fairs

Describe your education, training, and any skills and talents you may have: *

How did you hear about our agency? *

Volunteer Interview Questionnaire:

1. What led you to choose this program, and what do you hope to contribute to it? *

2. What do you feel are your greatest weaknesses and strengths? *

3. What sexual assault training or experience working with sexual assault survivors have you received? *

4. What do you anticipate would be the most difficult part of this program for you? *

5. How do you feel about working with/assisting people who are of different race, religion, belief or lifestyle than yours? *

6. Have you or anyone you know been a victim of sexual assault? If yes, how long ago and what have you done to work through it? *

7. Do you have a medical/psychiatric history that you feel is important for us to know about? (Yes or No) If you are presently taking any psychiatric medications please note them below. *

8. We prohibit the use of mind-altering drugs and alcohol while on call. Can you agree to abide by this policy? (Yes or No) If no, please explain. *

9. Are you currently on probation or parole or completing community service hours? (Yes or No) If yes, please explain. *

10. Have you been arrested, charged or convicted of a crime(s), or have any charges currently pending against you? (Yes or No) If yes, please explain. *

11. Are you willing to complete paperwork, keep track of services, and document all client contact? (Yes or No) If no, please explain. *

12. Client confidentiality is a top priority at DARCC. Do you foresee having a problem in this area? (Yes or No) If yes, please explain. *

13. What do you hope to gain from volunteering at DARCC? *

14. Upon completion of training, will you be able to maintain a 6 month commitment of 2 shifts per month? *

References:

Please list two people other than relatives and friends:

1. Name and Phone Number: *

2. Name and Phone Number: *

Please list other/past related volunteer experience (include program, your position, your supervisor, and their phone number if available): *

If you have any questions or concerns about volunteering, please check out our general volunteer page or send an email to volunteer@dallasrapecrisis.org.