VOLUNTEERS ARE LOVE IN MOTION

StandUp~SpeakOut needs volunteers

Do you have a passion for helping your community? Or a passion for working with youth who have witnessed abuse or sexual violence? 

Give back to our community and make a difference. Join our team of volunteers today.
You can download the form here, fill it out and send it to us by email at :

info@standupspeakout-nc.org

or to our physical address at:

P.O. Box 2832
Durham, NC 27712

or just Fill out the form below:

 

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PERSONAL INFORMATION

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                          First Name:         

                                       M.I :          

                          Last Name: 

                                      Sex: 

                  Street Address: 

                Apartment/Unit #: 

                                      City: 

                                    State: 

                             Zip Code: 

                   Home Phone #: 

           Alternative Phone #: 

                   Email Address: 

 Driver License Number or 
              State I.D. Number: 

                           Birth Date: 

Are you currently employed?: 

Are you currently in school  
               and if so, where?: 

Are you seeking                  
community service hours?:
                   

      If so, how many hours?:

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EMERGENCY CONTACT INFORMATION

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             First Name:              

                          M.I :            

             Last Name:  

      Street Address:  

      Apartment/Unit:  

                         City:  

                      State:  

               Zip Code:  

     Primary Phone:  

Alternative Phone:  

         Relationship:  

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OTHER INFORMATION

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In what areas would you like to volunteer?
Administration
Field Work
Phone bank
Fundraising
Deliveries
Newsletter production
Volunteer coordination

During which hours are you available for volunteer assignments?
Weekday mornings
Weekday afternoons
Weekday evenings
Weekend mornings
Weekend afternoons
Weekend evenings

Why are you interested in volunteering with S.U.S.O.?


Have you or someone you know been a victim of domestic violence or sexual abuse?


Please state three areas you are strong in and three areas that are a weakness:


Are there any health issues, allergies, or health issues we should be aware of?


Please share what you would love for us to know: