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Rape Crisis Hotline: (909) 626-HELP(4357)
Child Abuse Hotline: (626) 966-4155
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You're not alone - It wasn't your fault - We're here to help
Home
About Us
Our Story
Our Staff
FAQ
Annual Reports
Jobs
Services
Crisis Intervention Services
Outreach Services
Our Service Area
Agency Brochures
Get Involved
Pomona Youth Prevention Counsel (PYPC)
Volunteer Advocate Program
Volunteer Advocate Application Form
Training Dates
July 2024 Flyer
Events
Sexual Assault Awareness Month
Media
Press Releases
Photo Gallery
Contact Us
Volunteer Advocate Application Form
PSFS Advocate Volunteer Application
Please note:
Application cannot be saved.
Contact Information
Full Name
*
Date of Birth (MM/DD/YYYY)
*
Address
*
City
*
Zip Code
*
Mailing Address (If different from above)
Phone Number
*
E-mail
*
Languages (Speak/Read/Write)
Employment Information
Employer
*
Job TItle/Position
*
Address
*
City
*
Zip Code
*
Phone Number
*
Education
High School
Year Graduated
College/University
Major
Are you seeking this volunteer opportunity for a specific reason?
Please select
Community Service
Internship
Other (Please explain below)
For other, please explain:
Emergency Contact Information
Contact 1
Name
*
Relationship
*
Phone
*
Contact 2
Name
*
Relationship
*
Phone
*
How did you hear about Project Sister Family Services?
Please choose any or all that apply
*
Community Presentation/Event
Social Media
Friend/Family
College/University
Other
For Other, please describe
Please complete the following questionnaire:
Briefly describe your interest in becoming a volunteer advocate
*
Previous volunteer experiences
*
Skills/ Abilities
Do you have the following?
Reliable Transportation?
*
Yes
No
Valid Driver's License?
*
Yes
No
Proof of current auto insurance?
*
Yes
No
Reliable phone?
*
Yes
No
COVID–19 Vaccination & Boosters
*
Yes
No
Background and Identity Check
*
You will be required to provide and complete a driving record and electronic LIVE SCAN fingerprinting process at your own cost. There will also be a separate criminal background check (Currently provided by PSFS). Do you have any objections to this statement? *
Yes
No
*LIVE SCAN and Background check must be fully passed to be considered eligible to become a volunteer advocate.
I understand the following to be true:
*
Being a PSFS volunteer advocate is a professional commitment.
I will fulfill my one-year commitment after completing the 40-hour training.
I will schedule all my monthly shifts (27-hours per month) in a timely manner.
I will attend all monthly Advocate Meetings.
I agree to fulfill all requirements pertaining to being an advocate, including one resource fair and one police briefing.
If you could not agree to all of the above, please explain:
I have read the Volunteer Advocate Agreement and fully understand what is expected of me as a PSFS Volunteer Advocate
*
Yes
No
I certify that I have completed this application to the best of my ability
*
Yes
No
Please specify which training you are interested in attending.
*
Spring (February)
Summer (July)
Fall (October)
Please provide your electronic signature by providing your full name
*
Date
*
Verification
Please enter any two digits with no spaces (Example: 12)
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