Advocates Against Family Violence
TEAMaction Application
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The below application is required to be completed by all potential volunteer advocates that wish to participate as a volunteer family violence certified advocate. Further training guidelines will be sent to you prior to attendance of this course. Any person under the age of 18; must have a parent or legal guardian sign and submit a training permission form to participate in TEAMaction Advocate Training.

Date of Application:
Full Name (first, middle, last):
Street Address:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Email Address:
What is your interest in being certified as a Family Violence Advocate?
What qualities or experience would you bring to the training that you feel would be helpful?
What are your strongest assets?
Are you a survivor of domestic violence?Yes
No
Are you a survivor of childhood abuse?Yes
No
Are you a survivor of sexual assault or child sexual assault?Yes
No
If yes to any of the above questions. When did the abuse occur (timeframe)?
If yes to any of the above questions. Did you seek counseling or support services?Yes
No
Still Attending
If yes, when and where?
Click Box if you have ever been convicted of any domestic violence or sexual assault related crimes.
Have you ever had a Domestic Violence Protection Order issued against you?Yes
No
Unsure
Have you ever had an Anti-Harassment Order issued against you?Yes
No
Unsure
Have you ever had a different type of protection order issued against you?Yes
No
Unsure
If you clicked "Yes" to any of the protection order questions, please explain the situation.
In order to receive certification you must attend all training dates. Are you able to commit to 35 hours of training?Yes
No
Unsure
If you are "unsure" of committment, please explain:
How did you learn of the Volunteer Advocate Training?
Is there anything else we should know about you?
Click box if you are able to list a reference (if you are not, proceed to last question)
Name of Reference:
Relationship to your reference:
Daytime phone number for your reference:
Additional Information:
Click box if you are able to list a second reference (if you are not, proceed to last question)
Name of Reference
Relationship to your reference:
Daytime phone number for your reference:
Additional Information:
I am interested in volunteering:Yes
No
  

A telephone or in person interview will be conducted by the AAFV's Community Educator prior to the starting date of training.

Certification training is offered at a discounted rate to those making a six month volunteer committment ($30.00 cost of manual only). For those not able to commit to the volunteer program, the cost of training is $125.00, to be paid in full before or on the first day of training. Scholarships are available.

**** If you do not have time to volunteer your time as a Volunteer Advocate, but still would like to assist Family Violence Victims within the community - Sign up to attend AAFV's Quarterly CAP (Community Advocacy Program) Training ****

Checks and money orders should be made out to: Advocates Against Family Violence or AAFV
 
An AAFV staff member will contact you regarding training dates and any other questions and/or concerns you may have on your volunteer application.
 
Thank you for considereing volunteerism and joining in the mission of "Ending Family Violence One Family At A Time".