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Application for PATH Crisis Line Volunteer Position
General Information
NameFull Name
Datemm-dd-yyyy
Local AddressStreet Address
City/State/Zipcode
Primary Phone
Secondary Phone
Are you able to fulfill the commitment of 120 hours (6-8 months) following the training?
Which class are you applying for?Select Just One
What other time commitments do you currently have?
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Are you 18 or older?
What is the highest level of education you have completed?no minimum education requirments for adult volunteers - high school students are ineligble
College(s) attend(ed)
0 /
Degree(s)
0 /
Major(s) of Study
0 /
Have you been convicted of any offense other than minor traffic violations? If yes, please list the offense(s) and the year it occurred.
0 /
Have you had a traumatic personal experience in the past six months which might affect your work at PATH? If yes, please decribe.
0 /
Background / Experience / Skills / Talents
Describe any experiences (life, work, education, volunteering) you have had which would help you assist others?List and Describe the Situation(s) and Their Result(s)
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Please evaluate yourself honestly on the attributes below, from 1 (very low) to 5 (very high).
12345
Empathy
Listening Skills
Communication Skills
Open-minded Attributes
Positive Attitude
Relates Well to Others
Commitment
Punctuality
Flexibility
Self-Confidence
Motivation
Desire to help others
What doubts are in your mind as you prepare for this experience?
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Why do you want to be a PATH volunteer?
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Do you have any special needs? If so please explain.
0 /
Signature

I believe all of the above statements are true to the best of my knowledge.

Datemm-dd-yyyy
NameFull Name
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