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Volunteer Application Form
Volunteer Application Form
Name
*
Phone
*
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Address Line 2
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Country
Emergency Contact Name
Emergency Contact Phone Number
Are you over 18?
Yes
No
Experience
What motivates you to become a volunteer with Sagesse?
What skills would you bring to a volunteer position?
What is your understanding of domestic violence?
What education do you have?
What is your current occupation?
Please list your past employment experience.
Have you had any previous volunteer experience?
Yes
No
If so, what was the agency and what was your role?
Areas of Interest
Administrative Volunteer
Yes
No
This volunteer commitment is project-based, volunteers are asked to assist on an as- needed basis. Roles include: Board Office Assistance, Casino, Program Evaluation Assistance, Graphic Design, General Fundraising Activities
Direct Service Volunteer (weekly or monthly)
Yes
No
This volunteer commitment requires a regular commitment which can vary from once per week to once per month. Roles include: Peer Support Group Facilitator, Individual Mentorship Facilitator, Informal Supports Facilitator, Believe in You Group Facilitator
Please Note: Areas of interest are taken into consideration; however volunteer placement is determined by Sagesse staff.
Availability
Please indicate when you're available to volunteer. Multiple selections can be made.
Day of the week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time of the day
Morning: 9 am - Noon
Afternoon: 1 pm - 5 pm
Evening: 6 pm - 10 pm
Comments
References
Please provide (2) personal and (1) work-related references.
Reference 1
Include their Name, Relationship, and Email
Reference 2
Include their Name, Relationship, and Email
Reference 3
Include their Name, Relationship, and Email
How did you hear about Sagesse?
Be empowered to heal, learn, and grow.
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Volunteer Application Form
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