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Love Shouldn’t Hurt
2024 Child Abuse Awareness Pinwheels and Health Fair
5k Walk/Run
2024 T-Shirt Design Contest Participants
2025 T-Shirt Design Contest
Why We Are Here
LCCADV Mission Statement
Donations to Lander Domestic Violence Prevention
Volunteer
Administrative
Resources Across Nevada
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You Are Not Alone
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2024 Child Abuse Awareness Pinwheels and Health Fair
2024 T-Shirt Design Contest Participants
2025 T-Shirt Design Contest
5k Walk/Run
Administrative
Donations to Lander Domestic Violence Prevention
LCCADV Mission Statement
Love Shouldn't Hurt
Resources Across Nevada
Volunteer
Why We Are Here
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Volunteer
First Name
Last Name
Date of Birth
Mailing Address
Apartment, suite, etc
City
State/Province
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Email Address
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Confirm Email Address
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Home Phone
Office/Cell Phone
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Occupation
Supervisor's Name
Place of Employment/Address
Do you drive?
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Do you have use of a car?
Yes
No
Do you speak any foreign languages?
Educational Background
Volunteer/Professional Activities
How did you hear about our program?
Why do you want to volunteer with us?
What are your strongest points in working with Domestic Violence victims?
What do you feel would be the most difficult part?
What training would you need beforehand?
Have you ever held a role that required strong communication skills?
Yes
No
If you answered Yes: Describe the role
Have you ever been close to someone who was raped?
Yes
No
What areas are you interested in volunteering?
Advocate/Companion
Transportation
Public Relations/Outreach
Clerical/Administrative
Special Projects
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Safe Home
Code of Conduct
I WILL NOT USE MY POSITION FOR A PUPOSE THAT CONTITUTES OR PRESENTS THE APPEARANCE OF ORGANIZATIONAL CONFLICT OF INTEREST OR PERSONAL GAIN.
I WILL OBSERVE CLIENT’S CONFIDENTIALITY AND ANY INFORMATION RELATIN TO A CASE WILL NOT BE RELEASED TO PERSONS OR AGENCIES, OTHER THAN THOSE DIRECTLY INVOLVED, WITHOUT THE CLIENT(S) SIGNED RELEASE TO DO SO.
I WILL COMPLY WITH ALL FEDERAL AND STATE STATUTES RELATING TO NONDISCRIMINATION. SERVICE WILL BE PROVIDED TO ANY PERSON REGARDLESS OF RACE, RELIGION, COLOR, AGE, SEX, MARITAL STATUS, NATIONAL ORIGIN OR ANCESTRY.
I WILL COMPLY WITH ALL APPLICABLE REQUIREMENTS OF ALL OTHER STATE AND FEDERAL LAWS, EXECUTIVE ORDERS, REGULATIONS AND POLICIES GOVERNING THIS PROGRAM.
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I agree to the Code of Conduct
Text full name as signature
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