Volunteer Interest Survey

In order to change the conversation surrounding sexual assault and end sexual assault in our community, we need your help. If you're interested in becoming a volunteer with The Blue Bench, please fill out the form below to give us a sense of your interests, special skills and background. Thank you so much and we look forward to talking to you!

Volunteer Information
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Areas of Interest

Questionnaire

Availability to Volunteer

The following questions are optional and for statistical purposes only. The statistics derived from these questions enable The Blue Bench to secure organizational funding. All information shared is confidential and will not impact your eligibility to volunteer. At The Blue Bench, we hold that the categories listed below are limited and may not encapsulate the fullness of your identity.

Gender
Race/Ethnicity
Sexual Orientation
Annual Household Income

Electronic Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I am aware that a background check will be completed.

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