JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Limerick Volunteer Application Form
This Application form is to volunteer with Limerick only
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
Your answer
Address
Your answer
Are you over 23 years old?
*
Yes
No
Are you currently studying psychotherapy, psychology or another relevant mental health related course?
Yes
No
Clear selection
Have you experienced suicidal thoughts or lost a close person to suicide in the past 2 years?
Yes
No
Clear selection
Why would you like to volunteer with The Haven Hub?
Your answer
What experience or attributes do you feel you can bring to The Haven Hub?
Your answer
Have you been trained in suicide prevention training namely QPR or Asist?
Yes
No
Clear selection
Do you agree to undergo relevant training and to undergo Garda Vetting?
Yes
No
Clear selection
Do you have any additional needs that we should be aware of? If yes, please expand
Your answer
What area would you like to volunteer with the Haven Hub (feel free to choose more than one option)?
Peer Support - Supporting the person in Distress
Admin - Email/Accounts/Record keeping/Course registration
Social Media - Facebook & Instagram posts and message responses
Gatekeeper - Supporting the Peer Support team on Duty e.g. contacting emergency services, greeting service users at the door
Fundraising - Organising and managing events in the community to raise much needed funds e.g. pub quizzes etc...
The Haven Hub asks volunteers to commit to 2 evenings per month (late night for peer support), are you willing to commit to that?
Yes
No
Unsure
Clear selection
Please provide contact details for two people that are willing to provide a character reference for you that you are not related to?
Your answer
Do we have your permission to contact you on the above email regarding your application and training?
Yes
No
Clear selection
Any other information you feel relevant?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
