Online Volunteer Application

This agency does not discriminate on the basis of race, religion, age, gender, disability, national origin, political affiliation, sexual orientation, medical condition, or any other non-performance factor.

Requirements to volunteer:

  • Complete all required training
  • Commit to volunteer for at least one year (if possible)
  • Have a high school diploma or equivalent

    I am interested in:

    Crisis Line Advocate
    Child Care Provider
    Office Volunteer
    Court Advocate
    Community Educator
    Thrift Store Volunteer
    Shelter Care Provider
    Hospital Response
    Volunteering in another capacity:


    • Name:

    		 * required

    Email Address:

    		 * required

    Phone Number:

    		 * required

    Address:

    DOB:

    Sex:

    SS#:

    Occupation/Employer:

    Date of high school graduation/equivalent:

    How did you hear about DCRC?:

    Do you speak a second language?: Which language(s)?:

    Expected length of volunteer commitment:

    Past relevant experience, if any:

    What experience do you hope to gain through volunteering?:

    Any personal experience with domestic violence/sexual violence? If so, include how long ago it occurred. (Any information provided here will be considered confidential.):

    Ever been arrested or convicted of a criminal offense (other than minor traffic violations)? :
    If yes, please explain:

    Any additional comments or questions?:

    References (at least one must be a professional or academic reference):
    Name: Phone:
    Name: Phone:

    By checking this box, I certify that all of the above information here is true to the best of my

    knowledge * required