Crossroads Safehouse

24/7 Helplines: 970-482-2502 | 1-888-541-SAFE (7233) Toll-free

Volunteers are the key to our success!

Personal Information
Your name:
Date of Birth:
Street Address:
City:
State:
Email address:
Confirm Email address:
Phone:
Cell Phone:
Place of Employemnt/Occupation:
Length of time with current employer:
Subject:
Experience
Describe your Educational Background:
Have you had any previous experience as a volunteer?	Yes: No:
If yes, with what organization and what was your role?
Do you speak any languages in addition to English?	Yes: No:
If yes, which language(s)?
How did you hear about Crossroads Safehouse Volunteer Programs?
What is your interest volunteering with Crossroads Safehouse?
Have you ever been convicted of a crime?	Yes: No:
If yes, what were the charges?
Have you ever been investigated for a Domestic, Sexual or Child Abuse offense?	Yes: No:
If yes, please explain:
Are you able to make a 6-month commitment to volunteer with Crossroads Safehouse?	Yes: No:
Interest & Availability What time(s) of day and during which days of the week are you available to volunteer?
Weekdays	Morning: Afternoon: Evening:
Weekend	Morning: Afternoon: Evening:
Please check the position(s) that you are most interested in volunteering for:
Youth Program Volunteer
Crisis Intervention/Shelter Volunteer
Domestic Abuse Response Team (DART) Advocate
Facilities/Donations Volunteer
LEAD
Legal Advocacy Program Volunteer
Safe Pals Mentor
Special Event Volunteer
Crosstrails Volunteer

Your request or query: