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LAWS Domestic Violence and Sexual Assault Services
LEARN MORE ABOUT LAWS!
LAWS Volunteer Application
First Name
Last Name
Birth Date (please note: volunteers must be at least 18 years old)
/
/
(mm/dd/yyyy)
Gender
Male
Female
Non-Binary
Other
E-mail Address
Home Address
City and Zip code
State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Employer Name (if applicable):
Occupation:
Education (highest level completed):
Do you speak any languages besides English? If yes, would you be willing/able to interpret and/or translate?
I have read the overview of LAWS volunteering on the website (www.lcsj.org). I understand I must attend a Volunteer Information Session in order to proceed with volunteering at LAWS.
Yes
No
Why do you want to volunteer at LAWS?
What skills can you bring to LAWS as a volunteer?
Please detail previous volunteering experience, if any. If you do not have previous volunteer experience, put N/A.
What is your general availability to volunteer? Please specify: weekdays during the day, weekday evenings, and/or weekends.
Please list a reference. Include name, phone number, and relationship.
If you have ever been convicted of a felony and/or a misdemeanor or have been investigated by Child Protective Services, please explain.
If you are chosen as a volunteer for LAWS, you are required to complete a criminal background, CPS, and sex offender registry check. I agree to release my information to LAWS and pay a $25 fee to complete the background checks.
Yes
No