CoSA Volunteer Application
This is intended for those interested in volunteering with Circles of Support and Accountability with Ruby's Place. Your answers will help you be matched with a Core Member.
Sign in to Google to save your progress. Learn more
Name *
First and last name
Email *
Phone
CoSA Program *
Interest Level *
Required
Preferred Pronouns (optional)
Ethnicity (optional)
What city are you located in? *
Age
Clear selection
Occupation
Highest level of education completed
Clear selection
How did you hear about COSA
Why do you want to serve as a volunteer?
Do you have any previous experience with COSA's or restorative justice?
What skills, abilities or experiences do you bring to the work of COSA? 
Have you or someone close to you been the victim of a violent crime or experienced trauma? If so, did it involve a sexual offense?
Have you been impacted by the criminal justice system? if so, what crime(s) were you convicted?
Do you have a friend or family member who has served or is serving a prison sentence? 
Are you able and willing to commit to being a COSA volunteer for at least 1 year with a minimum of one circle meeting each week? New circles often require a larger time commitment in the beginning for training purposes. Will you be able to commit to this time?
Volunteers will be encouraged to attend training sessions from time to time. Will you be able to attend training sessions?
How soon can you start serving as a COSA volunteer?
Please inform times you are available to meet for COSA circle, please include availability for all days of the week.
Do you have a personal support network? E.g. Faith community, spiritual practice, attend groups, sports or other forms of community?
Are you comfortable working with those from a different spiritual, religious, or cultural background?
Please feel free to provide any other information you believe is relevant to your application.
Please provide references: 
Reference 1: Name, Relationship, Phone Number
Reference 2: Name, Relationship, Phone Number
Reference 3: Name, Relationship, Phone Number
Do you give permission for us to contact your references listed above? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ruby's Place. Report Abuse