Volunteer Application

All volunteers are required to participate in a telephone interview and attend ALL SESSIONS of the volunteer training series.

If you would like to verbally complete the application instead of writing it, please call Safe Harbor’s Community Organizing Manager, Stacie, at (804) 249-9470 ext. 15.

Personal Information
Date
Name*
FirstLast
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Email*
Phone (cell)
Phone (other)
Are you bilingual or multilingual?
- Yes
- No
If so, in what languages are you conversationally fluent?
Employer
Occupation
Date of Birth
Educational Background
Volunteer Information
Volunteer Interests*
- House Team
- Hospital Accompaniment Team
- Court Advocacy Team
- Community Outreach/Education Team
- Administrative Support Team
- Governance Team
- Volunteer Engagement Team
*you may select more than one
What would you like to see your volunteer experience look like?
How did you hear about Safe Harbor?
Please list any past or current volunteer work:
What previous experience do you have working with people in crisis situations?
Please describe any additional knowledge, skills, or abilities that you think would be helpful in working with Safe Harbor:
Please list three references
Name (1)*
FirstLast
Relationship
Phone
Email
Name (2)*
FirstLast
Relationship
Phone
Email
Name (3)*
FirstLast
Relationship
Phone
Email