Volunteer Application

Each person serving is a beacon of light in darkened places. Thank you, volunteers! Continue to light the world with your presence as you help awaken the lost, tired, and broken soul.

VOLUNTEER APPLICATION

"*" indicates required fields

Name*
Address*
Please check all areas in which you are interested in being a volunteer.*
Are you willing to complete an inservice training in crisis intervention, interviewing, client support and resources?*
Are you a survivor of sexual assault/abuse/incest or domestic violence?*
Are you experiencing any significant emotional problems at present or have you experienced them in the past five years?*
Have you ever been convicted of a felony?*
Have you lived outside the state of Wisconsin in the last 5 years?*

Please indicate your comfort level in discussing the following issues.

Please list three references whom we may contact (not a relative or spouse)

1) Name*
Address*

2) Name*
Address*

3) Name*
Address*
I hereby declare that the above information is accurate and factual and give my permission for ASTOP to contact the references listed above. I certify that this information is true and I agree that my misstatements or omissions of material fact will cause forfeiture on my part of all rights to any employment in the service of ASTOP. I understand that ASTOP conducts background checks on all staff, volunteers and board members. (You will not be denied employment solely because of a conviction record.)
This field is for validation purposes and should be left unchanged.