Please Note Application Deadline: Rolling Admission with trainings offered during the winter quarter
VOLUNTEER APPLICATION
Center for Advocacy Prevention and Empowerment
CAPE Helpline (formerly SASA)
Please ensure you are free on all of the training dates before submitting your
application. You must attend them all in their entirety.
Contact Gillian Kaag, Ph.D. 303-871-3853 with questions
Name :
Best Phone # to Reach you:
Local Address:
Date of Birth:
Permanent Address:
Email Address:
Primary role at DU (please circle):
If you are a student (please circle):
How frequently do you check your email?: Daily _____ Weekly_____
Student
Staff
Undergraduate Graduate
Faculty
Year in college? (2nd, Jr, Sr):
What languages do you speak fluently:
Please answer the following questions:
1.
The CAPE Helpline asks for a minimum one year commitment. How long do you anticipate you will be able
to volunteer with CAPE?
2.
Do you have any educational and/or work experiences that are relevant to volunteering for the CAPE
Helpline?
(please circle) Yes
No
If yes, please describe:
Center for Advocacy, Prevention, and Empowerment | University of Denver | PDCAPE 12/13/13 GFK
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Please Note Application Deadline: Rolling Admission with trainings offered during the winter quarter
3.
Have you ever had communication skills training (such as helping skills, conflict resolution etc)?
(please circle) Yes
No
If yes, where and for what purpose?
4.
How did you come to know about the CAPE Helpline? What publicity did you see or hear about the
program?
5.
What prompted you to apply to volunteer with the CAPE Helpline?
6.
What personal qualities do you have that will make you an effective CAPE Helpline team member?
7.
What do you hope to gain from working with the CAPE Helpline?
8.
Describe both a positive and a difficult experience you have had helping others. Please give examples.
9.
How do you approach someone with values different from your own?
10.
How would you respond if:
a. You were in a social setting and someone told a sexist joke?
b. Someone made a derogatory comment about women?
1.
Please respond to the following statements with how you feel about them:
a. Men and women have equal power in relationships.
b. Women or men who engage in risky behaviors are partially responsible for what happens to them.
Center for Advocacy, Prevention, and Empowerment | University of Denver | PDCAPE 12/13/13 GFK
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Please Note Application Deadline: Rolling Admission with trainings offered during the winter quarter
c. A rapist is sexually frustrated and is carried away by a sudden uncontrollable sexual desire.
12.
Have you known another person who has been sexually assaulted? (Please circle) Yes
No
If yes, what was the nature of your relationship with that person?
a. In general?
b. During her/his crisis
13.
Have you ever been sexually assaulted?
(please circle) Yes
No
If yes, what has the process of working through your feelings and thoughts about your experience been
like?
14.
We would appreciate any additional information that would help us to get to know you better.
REFERENCES: List three references who are able to describe your potential to volunteer in this capacity.
(References can be either personal or professional.)
Name
Phone Number
In what capacity and for how long has this person
known you?
Return Completed Applications to:
Please email your application to: Gillian Kaag, Ph.D., Program Director at gillian.kaag@hcc.du.edu
Center for Advocacy, Prevention, and Empowerment
103 Nelson Residence Hall
303.871.3853 / gillian.kaag@hcc.du.edu
Center for Advocacy, Prevention, and Empowerment | University of Denver | PDCAPE 12/13/13 GFK
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