Brave Step Inc.

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We appreciate your time in completing this application. The information you provide will assist us in placing you in an appropriate volunteer opportunity that will match your skills and interests.

Thank you.

Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State

State/Province

ZIP/Postal Code

Country

Phone

Date of Birth

(mm/dd/yyyy)

Occupation

Preferred Contact Method

Phone Call

Text Message

Previous Volunteer Experience

When are you available to volunteer (weekdays, weekends, mornings, afternoons, evenings)? Please be as specific as possible.

Experience (work, school, volunteer) related to Brave Step work:

Please complete this next section ONLY if you wish to work directly with clients.

Skills and Abilities

Please indicate which skills and abilities you would be interested in sharing with us.

Computer skills

Fundraising

Grant writing

Internet research

Phone calls

Publishing, newsletters, posters, etc.

Special events

Social media

Training other volunteers

Volunteer recruitment

Other

Areas of Interest

If possible, please indicate which opportunities you are most interested in:

Survivor or Loved Ones Support Services

Fundraising

Community Outreach

Clerical Support

Special events

Emergency Contact

Emergency Contact Person Name

First Name

Last Name

Emergency Contact: Relationship

Ex. Partner, Parent, etc.

Phone Number

Date of Application

(mm/dd/yyyy)