SACIS Volunteer Application
How do i know if this is the right time for me to volunteer?

•It has been at least 2 years since you have been a client and received counseling services from SACIS or another agency.
•You are not currently struggling with substance abuse or self-harm.
•You have a strong support system in place and can identify those whom would be supportive of your volunteer experience with SACIS
•You have available and time each month to volunteer/attend volunteer meetings at SACIS.
•You feel 100% ready to become an advocate

For more information, contact:

Stephanie Anderson
Director of Volunteer Services
volunteer@sacis.org

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Email *
Personal Information
First Name and Middle Initial *
Last Name *
Gender and Pronouns
What are Pronouns: Pronouns are words that refer to either the people talking (like you or I) or someone or something that is being talked about (like she, they, and this). Gender pronouns (like he or them) specifically refer to people that you are talking about. EXAMPLES: She/her/hers• He/him/his• They/them/theirs• Ze/hir/hir• Just my name please!
Ethnicity
Birth Date *
MM
/
DD
/
YYYY
Current Address
Phone: *
Can we text you with reminders and updates?
Clear selection
If you are a student, name of school and current year
Employer/Position
How long have you been employed in that position?
How long have you resided in our service area? (Coles/Clark/Cumberland)
Do you have access to transportation? *
Do you have any physical limitation(s) that require accommodation? *
Please list any languages you speak fluently other than English:
Are you taking this training for professional training?
Clear selection
Are you take this training for the Woman’s Gender and Violence Class?
Clear selection
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