Volunteer Internship Form

First Name
   
Last Name:
   
Email Address:
   
Phone:
   
Major(s):
   
Last semester's GPA:
   
Please list other commitments you're currently involved with, i.e. jobs, clubs, volunteering, etc.:
   
Why do you want to do violence prevention work?:
   
What are your professional interests/goals?:
   
What experience and knowledge do you have about dating and domestic violence, stalking and sexual assault?:
   
Our two main opportunities for student involvement are outreach events (planning, marketing, and executing awareness events) and prevention education (researching and delivering presentations and workshops). Which area appeals to you more?:
   
What difficulties would you have working with and treating equally: a) people of different socio-economic levels, b) people of different ethnic origin, c) gays, lesbians, transgendered, or intersex, d) people of different religious faiths, e) people differently abled than you, or f) people with value systems very different from your own?:
   
What do you hope to gain from this internship?
   
How many hours per week do you plan to work as an intern for ROC, or how many total hours in a semester do you need to complete for this internship?
   
List available hours in your schedule:
   
Any questions or concerns about your work with ROC?
   

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