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North Grenville
Crisis Intervention
Family Court Support Program
Internet Child Exploitation (ICE) Program
Mobile Tracking System
Safety Planning
Senior Safety Program
Support Teens at Risk (STAR) Program
Victim Quick Response Program (VQRP)
Volunteer
Resources
Break & Enter
Domestic Violence / Dating Violence
Family Court Support Information
Safety Planning
Seniors / Elder Abuse
Sexual Assault / Abuse
Teenagers
Tragic Circumstances
Trauma
We're Hiring
Contact
Service Provider Referral Form
Police Services Referral Form
Feedback Form
Self-Referral
Volunteer Application
First Name
*
Last Name
*
Address
*
City
*
Province
*
Postal Code
*
Email Address
*
Phone
*
Please identify what aspect of volunteering you are interested in?
Crisis Response
Translation Services
Phone Based Support to Others
Languages Spoken
Previous Volunteer / Community Experience (please state where, when, how long and brief description of your duties.)
Special Skills (example, great at computer work)
Training (include any volunteer training, workshops, education etc.)
Employment Experience
Are you able to commit to the program for one year?
yes
no
Please comment if you are not able to commit for one year
Do you have a valid driver's license?
yes
no
Do you have a reliable car for volunteering?
yes
no
Are you over the age of 18?
yes
no
Please list any education (high school and post secondary education)
Why do you want to volunteer with Victim Services?
Why do you think you will be a great Victim Services volunteer?
Please provide three PROFESSIONAL references
Professional Reference #1
Professional Reference #2
Professional Reference #3
I am interested in volunteering in:
*
Leeds & Grenville (Gananoque Brockville Prescott Kemptville Merrickville Jasper Lansdowne Athens Westport)
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