Welcome to our online volunteer application; please complete in its entirety. 

By becoming a volunteer you are helping us fulfill our Mission Statement:

To provide safety, shelter and support for women who have experienced domestic violence, and to raise awareness regarding its cause, prevalence and impact.
 

We appreciate you!
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Last Name *

 
First Name *

 
Marital Status


 
Date of Birth *

 
Street Address & Apt Number (if applicable) *

 
City *

 
State *

 
Zip Code *

 
Preferred Phone Number

 
If you are 18 or younger what school do you attend?

 
What college/university did you attend?

 
Please provide the contact information and phone number for an emergency contact.

 
Who is your current employer and what is your job title? *

 
Have you ever been convicted of any criminal offenses? *

     
 
Have you ever been accused of or charged with being a child abuser and/or domestic violence? *

     
 
Are you or have you ever been a victim of domestic violence?

     
 
Are you now or have you ever been a Genesis client? *

     
 
Why do you want to volunteer at Genesis?

 
How did you hear about Genesis?

 
Do you speak Spanish fluently?

     
 
Volunteer Interest (select one)

Area  of Interest:
* Court Accompaniment Volunteer ( Additional training required)
* Pal Fun Club
* Court Partnership
* Other
 
Court Accompaniment

     
 
Court Partnership

     
 
Pal Fun Club

     
 
Other

     
 
I understand that I may be required to submit to a background check. *

     
 
Have you ever completed a background check with Genesis?  if so when. *

     
 
I understand that I will be required to attend an orientation session prior to beginning as a volunteer. *

     
 
Do you consent to have Genesis take your picture or video and use for promotional and educational purposes? *

     
 
I understand that all information provided by a client or staff member is considered to be confidential and is subject to the terms of the Shelter's confidentiality policy. I understand that any violation of this, including disclosure of the Shelter's location, shall be considered a breach of faith. I understand that any violation of this policy is grounds for termination of my volunteer relationship with Genesis Women's Shelter & Support. *

     
Thank you for applying to be a volunteer with Genesis Women's Shelter & Support!
We could not provide the services that we do without the support of volunteers like you!
We'll be in touch soon via email with your volunteer approval once the required background check form is complete.
Return to the volunteer page and your will find instructions in section 2.

*As of January 1, 2017, applicants will be required to cover the $9.95 fee for the Criminal Background Check service.

If you have questions or concerns about your application please contact 
Chandra Adkins Volunteer Manager
214-389-7701 or cadkins@genesisshelter.org
 
Please click on this link  http://vols.pt/ZG1nR9
 and it will direct you to our new volunteer orientation calendar, as well as other volunteer opportunities.


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