Volunteer Form

Fields marked with an * are required fields.

First Name

Last Name

Phone

Address

Age

Date of Birth

Are you currently a student? (If yes, please provide parental information below)

Yes No

Parent's Name

Parent's Mailing Address

How did you hear about The Cocoon?

Have you ever been a volunteer or employee for The Cocoon?

Yes No

If yes, when?

Have you ever been arrested for or convicted of a felony, a domestic violence or related charge, or a crime against a child?

Yes No

If yes, please explain.

Name of College (if applicable)

Years Completed

Degree or Major

Graduation Date

If you are certified/licensed in a special field or trade, please identify your license.

Describe related work/volunteer experience (if applicable)

Why are you interested in volunteering for The Cocoon? What would you hope to offer?

Select the volunteer opportunities you're applying for.

Special Events Volunteer Building Care Volunteer Office Volunteer Interpretation Volunteer Childcare Volunteer Skilled Trades/Liscensed Professional Volunteer Animal Foster Care Volunteer Day of Service Group Volunteer Random Acts of Kindness Volunteer On-Call Advocate Volunteer

Why are you interested in volunteering as an On-Call Advocate for The Cocoon?

What would you hope to offer survivors as an On-Call Advocate?

What are your long-term career aspirations and how does being an On-Call Advocate fit with that?

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We are committed to ending domestic and sexual violence, empowering those affected by abuse, and envision safety, justice, nonviolence, and equity for all people through social change.

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A 501(c)(3) Organization

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