7Volunteer/Intern Application

Please complete and submit to Kirby Hurd in one of the following ways: email: [email protected], or mail: P.O. Box 466, Mankato, MN 56002 (please mail with 70 cents in postage.)

All Applicants: Please include your resume and a cover letter. Internship Applicants: Please include three goals you hope to accomplish during your internship and any course requirements that must be met.

Full Name: ______

Address: ______

City: ______State: ______Zip: ______

Phone Number: ______Email Address: ______

Current Employment/School: ______

What is the preferred way to contact you (phone, email, etc.)? ______

Are you 18 years of age or older? Yes ______No ______

Have you received CADA services in the last year? ______

Volunteer & Internship Positions Please place a  next to the position in which you are interested, or number multiple positions by preference.

____ Call-Out Crisis Intervention Advocate Support CADA Advocates in the following ways: - Provide on call crisis intervention, advocacy and support to victims/survivors of domestic and sexual violence. - Provide crisis support over the phone and/or in person at local hospitals and law enforcement agencies as requested during your on call shift. - Collect and record client data. - Maintain confidentiality of all CADA’s clients and staff. - Must have reliable transportation and current insurance. - Attend monthly meetings. - Must make a commitment to volunteer for a minimum of one night a week for six months. - This position requires the completion of a 40 hour Sexual Assault Advocacy Certification training.

____Child/Youth Advocate Support Child/Youth Advocates in the following ways: - Provide support for the needs of youth that have experienced violence at home. - Provide child care/recreation for children while mothers attend support groups, doctors and legal appointments, prepare for and attend court hearings, apply for assistance, etc. - Assist with support groups for children and parent education groups for mothers. - Create and carry out activities with children of all ages. - Tutor children residing in shelter. - Maintain confidentiality of all CADA’s clients and staff. - Must be energetic, patient, positive, tolerant, and have a background in or are currently pursuing an education/career in a child/adolescent related field. - This position is 6-12 hours a week.

____Shelter Advocate Support Shelter Advocates in the following ways: - Provide support for the needs of women residing in shelter that have experienced abuse. - Assist in answering phone calls on our crisis line - Support Shelter Advocates as they facilitate women’s groups and participate in meetings - Assist shelter residents in accessing county and community based services and support - Develop and implement educational materials and presentations relevant to the needs and experiences of shelter residents. - Maintain confidentiality of all CADA’s clients and staff. - Must be professional, open minded, friendly, have strong personal and professional boundaries, and excellent communication skills. - This position is 6-12 hours a week. - This position requires the completion of a 40 hour Sexual Assault Advocacy Certification training for direct client contact.

____Community Outreach Advocate Support Community Outreach Advocates in the following ways: - Provide support, information and referrals to survivors living in outreach communities. - Attend court proceedings. - Answer crisis calls. - Provide childcare during support groups. - Create and distribute packets of information to community providers. - Assist with outreach programs and prevention education. - Attend taskforce meetings as necessary. - Maintain confidentiality of all CADA’s clients and staff. - Must be professional, open minded, friendly, organized, have strong personal and professional boundaries, excellent communication skills, and be able to work alone and in groups. - This position requires the completion of a 40 hour Sexual Assault Advocacy Certification training for direct client contact.

____Sexual Violence Program Support the Sexual Violence Program Coordinator in the following ways: - Provide support, information and referrals to survivors of sexual violence. - Assist with community awareness campaigns, events, presentations, and trainings, including the Sexual Assault Advocacy Certification training. - Facilitate support groups covering a variety of topics such as healthy sexuality, body image, etc. - Attend taskforce meetings with other community providers. - Maintain confidentiality of all CADA’s clients and staff. - Must be professional, open minded, friendly, organized, have strong personal and professional boundaries, excellent communication skills, and be able to work alone and in groups. - This position requires the completion of a 40 hour Sexual Assault Advocacy Certification training.

_____ Shelter – Volunteers working in the shelter setting assist with organizing donations, the food pantry, general upkeep of the facility, assisting our shelter cook in the kitchen, sanitize toys, etc. Must be organized, detail oriented, flexible and have great communication skills. This position is 3- 6 hours a week.

_____ Administrative Assistant – Assist CADA staff with greeting clients, answering and directing phone calls, mailings, filing, data entry, accepting and organizing donations, cleaning, and any other administrative tasks throughout the organization. Must have experience with Microsoft Word and Excel. This position is available during business hours, Monday through Friday.

_____ General Support – General Support Volunteers come into CADA ready to help out wherever the staff and advocates need assistance. General support tasks include a variety of tasks highlighted in the shelter and administrative areas. Must be organized, detail oriented, open minded, flexible, and eager to help out in a variety of departments. This position is 4-8 hours a week.

_____ Facilities/Maintenance – Assist facility staff in maintaining a clean and organized office/shelter, assist in carrying out maintenance projects and/or light landscaping or cleanup projects. This is on an as needed basis.

_____ Special Service/Project – This is reserved for anyone interested in providing a specific service during their volunteer hours. Examples include yoga, haircuts, yard work, etc. Please describe the service you would like to provide: ______

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All volunteer and intern roles may at times include (but are not limited to) supporting CADA staff in the following ways: - Assist with CADA’s quarterly newsletter and other mailings - Organizing and maintaining donations and donation rooms - Assist with fundraising events - Assist shelter staff with cleaning and upkeep of the shelter and its equipment - Working on awareness campaigns

Which CADA location would you like to volunteer/intern in?

____ Mankato _____Waseca ____New Ulm ____St. James ____Blue Earth ____Gaylord

Required Internship or Volunteering Please note that we do not accept court-mandated community service volunteers

Is this a requirement for a class, church, etc.? Yes _____ No______

If yes, what is this volunteering/internship for? ___ Instructor/Supervisor’s name, title, contact information: ______

Name of program: ______

Year/Level in program: ______Semester you are applying for: ______

Anticipated start date: ______Required end date: ______

How many hours are required? GPA: ______

Are you interested in volunteering/interning more hours than required of you? If so, how many hours/months? ______

Is any evaluation of your work required? If yes, please explain and give date(s) required? ______.

Community Volunteer/Internship Experience

1. Place:

How did you help?

2. Place:

How did you help?

3. Place:

How did you help?

Language Skills

Do you speak and read English? Yes ______No______

1. Do you speak or read a second language other than English? Yes ______No______If so, specify language and fluency:

Would you be willing to translate? Yes ______No______

Are you a licensed translator? Yes ______No______

What other skills, qualities, characteristics, or experiences do you have that you think might be helpful to CADA: ______

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What do you hope to gain from your experience volunteering/interning with CADA? ______

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Can you commit to attend any and all training required for the position you’re applying for? ______

Can you commit to attend monthly volunteer meetings? ______

Please list three references (not relatives) that we may contact who have known you for at least one year:

Name: ______Phone: ______

Email: ______Relationship: ______

Name: ______Phone: ______

Driving Record/Information

1. Do you have a valid driver's license? Yes ______No______2. Do you have valid car insurance? Yes ______No______

3. Have you had any traffic violations in the last three years? Yes ______No______

If yes, please specify: ______

Criminal Record

Have you been charged with any criminal offenses in the last three years? Yes ______No______

If yes, please specify:

Availability

Please describe your availability; including days and times you are and are not available to volunteer/intern, how many hours a week you would like to complete, and how many weeks/months/years you would like to volunteer for:

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Is there anything else you would like to share with us?

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I hereby certify that the facts set forth in the above application are true and complete to the best of my knowledge. I understand that completing this application does not ensure a volunteer/internship placement. I also understand that this is not an application for a paid employment.

Signature or typed name (e-signature): Date: Thank you for your interest!

Office Use Only

Date Received: ______Approved: ______Denied: ______

Interview date: ______

Interviewers: ______

Background checks completed: ______Passed: ______Yes ______No

Start/Orientation date: ______Notes: ______

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