NEED Crisis & Information Line
PO Box 5501
Victoria, BC, Canada
V8R 6S4
Bus: 386-6328 Fax: 386-9748 Web: www.needcrisis.bc.ca
We require each volunteer to submit a Criminal Record Search.
Decisions will be made regarding potential volunteers on an individual basis.
PLEASE PRINT CLEARLY and answer all questions as best you can (Confidential
Information)
Date of information session: _____________________
Name: _________________________________________
Are you 19 or over? yes no (circle one)
Address: ____________________________________________
City: ___________________ Postal Code: _____________
Email: ______________________________________________
Home phone: _________________________
Business phone: __________________________
Please Indicate the best times to contact you on these numbers: _______________________
Present Occupation: ____________________________________________________________
Previous Related Experience:______________________________________________________
______________________________________________________________________________
How did you learn about Volunteer opportunities at the NEED Crisis & Information
Line? (please
check all applicable):
o Times Colonist
o Focus Magazine
o Island Parent Magazine
o Friend
o The Internet
o New Seniors Magazine
o Community Newspaper
o Posters
o Other (Please Comment) _______________________
Have you applied to become a volunteer at NEED before? If so, when? ____________________
How would the person closest to you react to your involvement with NEED?
Would your involvement with NEED cause any strain on family and/or work responsibilities?
The minimum requirement to be a volunteer at NEED is one 4 hour shift per week, and in lieu of 4 hour shift, one 6 hour overnight shift per month. As well, approx. 4 hours of monthly in-service training offered throughout the year commitment. We ask for a time commitment of 1 year, inclusive of training. How will this be a problem for you?
What kinds of calls (on the NEED phones) do you think would be most likely to upset you?
Describe a time in the last 5 years when you turned to someone for help or support (professional, friend, family or otherwise). Describe how it felt to approach this person. What did you find helpful?
What do you feel are the strengths and weaknesses that you will bring to NEED?
What do you expect to gain from being a volunteer at NEED?
Why have you chosen to Volunteer for NEED, and why at this particular time in your life?
Do you have any needs or allergies we should be aware of?
How did you feel about filling in this application form?
Please provide us with two references (volunteer or paid experience):
1. Name: ________________________
Title: _________________
Phone Number: _____________
Place of employment (if applicable): __________________________________________________________
2. Name: ________________________
Title: _________________
Phone Number: _____________
Place of employment (if applicable): ___________________________________________________________