Volunteer Application

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Get 24/7 Help - Crisis Hotline: 540-886-6800

Statewide Hotline: 1-800-838-8238

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SAFETY EXIT

EMPOWERING LIVES • EDUCATING THE COMMUNITY • ENDING VIOLENCE

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Volunteer Application

Volunteer with Us

First name

Last name

Birthday

How did you find out about us?

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Which days are you available?

Mon

Tue

Wed

Thu

Fri

Sat

# Hours/day

Why are you interested in volunteeering with New Directions Center?

What types of work are you interested in doing?

Have you ever been convicted of a felony?

Yes

Please provide the name, email, and phone number of a personal or professional reference.

Relationship to applicant:

Please provide the name, email, and phone number of a second personal or professional reference.

Relationship to Applicant:

I want to subscribe to the newsletter.

I hereby certify that the information provided on this application is accurate to the best of my knowledge and subject to verification by New Directions Center. I authorize any persons named in this application to provide New Directions Center (its authorized employees, agents or representatives) with any relevant information that may be required to arrive at a decision regarding my eligibility to volunteer and hereby release any such schools, persons, employers, agencies, and organizations from any and all liability which they might otherwise incur as a result. I understand that any misrepresentation or omission of a material fact on my application may be justification for dismissal from the volunteer program.

Your Signature

Select a date

Thanks for applying to volunteer with us! We'll get back to you soon.

Our 24/7 Crisis Hotline:

540-886-6800

Our Administrative Office:

110 W Johnson Street Staunton VA

About Us

We're a non-profit organization dedicated to providing support and advocacy to those affected by domestic violence, sexual assault, and human trafficking.

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