Volunteer - Dispute Settlement Center

Tell us about yourself:

Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Gender

Preferred Pronouns

Race

Age

Occupation

Education

Community Affiliations

Why would you like to volunteer with us?

Hobbies, special talents, skills:

Volunteering

Volunteer Work Objectives

Check all the apply.

Learn new skills
Use existing skills
Explore new careers
Meet and work with people
Help in the community
Other

If other, please explain:*

Ways you in which you would like to volunteer:

Check all that apply.

If other, please explain:*

What skills do you possess related to these volunteer interests?

Have you been trained as a facilitator or mediator?

Scheduling

If you have not had appropriate training, would you be willing to devote at least 16-20 hours to become trained as a facilitator or mediator?

Would you be available to volunteer for an 18 month period?

Which hours are you available to volunteer your time?

8am - 5pm Only
After 5:30pm Only
Monday - Friday Only
Weekends Only
Other

If other, please explain:*

If yes, please explain:*

In Case of Emergency

Emergency Contact Info

First Last Relationship

Emergency Contact Phone Number

Reference #1

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reference #2

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reference #3

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Background Check Permission

Have you ever been convicted of a misdemeanor or felony? (Please note that conviction is not necessarily a barrier to participation).

Due to the nature of some of our work, we may require a background check.*

I agree with these terms and grant permission to run a background check.

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Volunteering at DSC

Tell us about yourself:

Volunteering

Scheduling

In Case of Emergency

Reference #1

Reference #2

Reference #3

Background Check Permission