Disclaimer

Please note that Luke's Place collects this information for the purposes of volunteer recruitment only. 

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* 1. Contact Information

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* 2. Languages Spoken:

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* 3. Languages Written:

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* 4. Languages Read:

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* 5. Other Types of Communication (ex. sign language):

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* 6. Availability

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* 7. Do you have a valid driver’s license?

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* 8. Do you have access to a car?

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* 9. Are there any accessibility requirements that Luke’s Place would have to meet and/or provide in order for you to participate in the training or as a Luke’s Place volunteer?

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* 10. Have you personally been supported by Luke’s Place, or been involved with the family court process within the past year?

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* 11. Please check the areas from the list below that you feel might be of interest to you:

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* 12. Why do you want to volunteer with Luke’s Place?

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* 13. What is your definition of woman abuse?

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* 14. Why do you think women remain in abusive relationships?

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* 15. What resources are helpful for a woman who is preparing to leave an abusive relationship?

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* 16. What effect does woman abuse have on children in the home?

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* 17. What do you hope to gain from your volunteer experience?

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* 18. What strengths do you feel that you will bring to Luke’s Place?

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* 19. Please tell us about your previous volunteer or work experience.

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* 20. Through your work at Luke’s Place, you will be exposed to women’s disclosures of abuse, and from time to time, difficult situations. Please describe what kind of coping and support plan you would implement for yourself to minimize the impact on you personally.

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* 21. Comments: