Domestic Violence

Volunteer Application

Narika requires all volunteers to complete California State mandated 40-hour Domestic Violence Counselor’s Certification Training as well as Narika’s own 2-day training.

Name:   Date:

M/F: Date of birth: Month/Date
*used for internal celebrations    
Age: Ethnicity:

Email:

Address:

City: Zip:

Phone:   Home: (     )                             Work: (     )                                 Cell: (   )

Occupation:  

Employer/School:  

If student, then please list where and your major /area of interest:  

What are the best times to reach you to do a 15 minute phone interview?  

Please indicate days and list times when you are available to volunteer:

Sunday     Thursday
Monday                                                           Friday
Tuesday   Saturday  
Wednesday

_____ Helpline and Direct Service      

_____ Survivor Economic Empowerment Development (SEED)


_____ Community Outreach & Education

_____ Events & Fundraising

_____ Virtual Opportunities


An integral part of Narika’s work depends on the distribution of our materials (flyers, resource cards, posters, etc.) and we need volunteers to help us accomplish this. Please indicate which Bay Area regions are most convenient for you to flyer:

__ Fremont, Hayward, Union City, San Leandro __ San Jose, Santa Clara, Milipitas, Sunnyvale
    Mountain View
__ Castro Valley, Dublin, Pleasanton, Livermore __ Redwood City, San Carlos, Palo Alto, San
    Mateo
__ San Francisco __ Berkeley, Oakland, Albany

__ Walnut Creek, Concord, Pleasant Hill __ El Cerrito, San Pablo, El Sobrante

Please list any previous Volunteer and/or Community Experience:  

 
What do you hope to gain from your volunteer experience with Narika?

 

What is your exposure to South Asian culture?

 
 
How much of an awareness/exposure do you feel you have in regards to...