Crisis Line Volunteering: Experience the Rewards!

Application Form

 

The application requires you to provide us with personal and potentially sensitive information. Be assured that the applications are held in strict confidence and the information is treated with the utmost respect and kept in a safe place.

Please ensure that you have familiarized yourself with the training dates for this session.

 

All information provided in this form is kept confidential.

Your Name

Date

Address

City, Province, Postal Code

Telephone (Home)

Telephone (Mobile)

Telephone (Work)

Email Address

Education, training, or work experience that may relate to crisis intervention work:

Present occupation and employer:

 

Please answer each of the following questions as fully as possible.

1. Why do you want to work at the Crisis Society and what do you hope to gain personally from this experience?

2. In addition to good listening, what skills or personal qualities do you possess that could be applicable to crisis intervention work?

3. Describe a situation where you helped someone.

4. Describe a situation where you needed help. Explain what it was like, and what you feel you learned from this situation. How might this experience affect your work on the crisis lines?

5. Are there any issues, topics or views that you might have trouble being objective about?

6. Have you ever known anyone closely who was suicidal? What was their relationship to you?

7. What stresses are you currently experiencing? (Please be specific.)

8. Do you have any medical conditions of which we should be aware? (Examples: depression, hearing impairment, etc.)

9. How do you currently handle personal issues or problems that arise? (Please be specific.)

10. Have you ever experienced any abuse either personally or professionally? If yes, how have you dealt with those issues?

11. What is the one thing about yourself you would most like to improve?

12. What other commitments (personal or professional) do you have at this time?

13. Are there any time periods that you know of that may interfere with you fulfilling your training commitment or your volunteer commitment (including overnight)?

 

Person to contact in case of emergency:

Name

Relationship

Phone

 

Please provide three non-family references, including one employer:

1. Name

Relationship

Phone

2. Name

Relationship

Phone

3. Name

Relationship

Phone

 

Have you previously applied at the Crisis Society? If so, when?

How did you hear about the Crisis Society?

 

Privacy Act and the Protection of Information: All information in this application is kept confidential under the Privacy Act. Applications are stored in a locked filing cabinet for the duration of an individual's volunteer experience with the Crisis Society and are shredded within a year from the time they leave the Society. The Crisis Society does keep basic statistics such as an individual's name, address, and phone number. If you do not wish us to keep this information, please let us know and we will delete your name from our database.

 

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Volunteering on the Vancouver Island Crisis Line
Introduction and Training Dates
Crisis Line Service
Pre-Training
Commitment

Interview
Fees
Application Form