SSAIC CRISIS LINE
Volunteer Application
Saskatoon Sexual Assault & Information Centre
201 - 506 - 25th Street East
Saskatoon, SK S7K 4A7
306-244-2294
Email:
Please Print
Full Name: ______
First Middle Last
Mailing Address: ______Postal Code: ______
E-mail address: ______
Telephone: Cell: ______Home: ______Work: ______
Date of Birth (must be 18+ yrs): ______Gender Identity: ______
Emergency Contact: ______Phone: ______
Email: ______
*Please note: Persons who have accessed counselling services at SSAIC must wait 2 years from date of last contact to start date of Volunteer Training before applying.
General Information
Occupation (include unpaid work): ______
Present place of employment (include contact information): ______
______
Why did you choose our agency in particular at which to volunteer? ______
______
What goals do you wish to achieve by volunteering with our agency? ______
Previous volunteer or related experience: ______
______
List any skills, knowledge, resources, or experience you feel may be helpful in working with our agency: ______
______
Are you willing to work with male, female & transgender clients? ______
Would your views re abortion prevent you from being non-judgmental and supportive when interacting with a client? ______
How did you hear about the Saskatoon Sexual Assault & Information Centre? (volunteer, friend, school, radio, etc.): ______
When are you able to volunteer? Crisis Line shifts are as follows:
Weekdays: 9:00 a.m. – 5:00 p.m. _____ Weekends: 9:00 a.m. – 5:00 p.m. _____
Weekdays: 5:00 p.m. – 1:00 a.m. _____ Weekends: 5:00 p.m. – 1:00 a.m. _____
Weekdays: 1:00 a.m. – 9:00 a.m. _____ Weekends: 1:00 a.m. – 9:00 a.m. _____
List one character reference and two business, educational, or volunteer related references. State this person’s relationship to you (employer, clergy, family friend, etc.) Please do not use relatives. Give contact information for all references.
1. Name: ______Relationship: ______
Address: ______
Phone: (C) ______(H) ______(W) ______
Email: ______
2. Name: ______Relationship: ______
Address: ______
Phone: (C) ______(H) ______(W) ______
Email: ______
3. Name: ______Relationship: ______
Address: ______
Phone: (C) ______(H) ______(W) ______
Email: ______