Educator Advocate Volunteer Application Form


Date of Application:
Name:
Local Phone:
Local Address: Address line1:
Address line2:
City: State: Zip:
Permanent Address: Address line1:
Address line2:
City: State: Zip:
E-mail address:
Occupation:

If you are a student please complete the following :
School:
Major/Minor:
Year of Graduation:

In conjunction with Women Gender Sexuality Studies, the Community Education Services offers academic practicum credits for training to UMass students in good standing who meet the qualifications.
Are you interested in receiving credit for training? YesNo

Please provide two references :
Name:
Phone:
Address:
Relationship:

Name:

Phone:
Address:
Relationship:


Please answer the following questions.
1.Why do you want to be a volunteer at Center for Women and Community?
2.Describe your understanding of diversity and your experience working with diverse populations.
3.What do you think are 2 or 3 of the causes of sexual assault in US culture?
4.Please list and describe any experience you have counseling or educating others.
5.What will you bring to this position?
6.What skills do you hope to develop while in this position?
7.What would be the most challenging aspect of this work for you?
8.Are you fluent or conversational in any languages other than English? What are they?
9.Can you commit to volunteering as an Educator Advocate for a minimum of two semesters?(one semester of training and
one semester after training). Yes No
If No, please explain

10.Can you attend all training sessions on Thursday evenings from 4-7 PM during the Fall semester and one full
weekend session on September 20th and 21st? Yes No
If No, please explain

11.During the second semester, can you attend weekly staff meetings on Thursday evenings from 4-6 PM? Yes No
If No, please explain

12.During the second semester, can you commit to 2 hours of volunteer time in addition to weekly staff meetings? Yes No
If No, please explain

13.Please supply any additional information that might help us in considering your application.
CONTACT : Center for Women and Community, New Africa House, UMASS, (413) 545-0883