Volunteer Application Form
Thank you for your interest in volunteering with Community Justice Initiatives. Please fill in the information below. All information will be kept confidential. Please note all fields marked with an asterisk (*) must be completed.
*Name:
*Address:
Address:
*City:
*Postal Code:
*Home Phone:
Work Phone:
Cell Phone:
Email:
*What is the best way to contact you?
1. How did you hear about Community Justice Initiatives? (please check all appropriate boxes)
Volunteer Action Center
Church
School
Newspaper
Word of Mouth
Volunteer
Other
2. Positions of Interest (please check off three top interests only)
General Volunteer Opportunities
Administrative Support
Bingo Volunteer
Board of Directors
Special Events
Speakers Bureau
Fundraising
Other
Program Specific Volunteer Opportunities
Revive
Group Facilitator
Speakers Bureau
Stride
Circle Volunteer
Stride Night Recreation Volunteer
Community Connections Volunteer
Resolve
Community Mediations
Court Watching
Elder Abuse Circles
Family Group Conferencing
Sports Mediation
Victim Impact Statements
Victim/Offender Reconcilations
3. Please check the times you are available
Mon
Tue
Wed
Thur
Fri
Sat
Sun
Mornings
Afternoons
Evenings
4. *Are you able to make a 1 year commitment to Community Justice Initiatives?
Yes
No
If no, please explain why
5. Please list your interests and skills and send a copy of your resume.
6. Languages spoken (including sign language), and written.
7. Please explain any issues that might affect your ability to volunteer.
8. *Please give the names and telephone numbers of three references (two professional and one personal).
1) Name
Telephone #
2) Name
Telephone #
3) Name
Telephone #
*I give my consent for my references to be contacted and for Community Justices Initiatives to keep my information in their files.
Yes
No
