I Accept (By checking this box and completing this application form, you are stating that you fully understand and accept the terms and conditions of the Volunteer Commitment)
First Name: Last Name:
Phone #:
Street Address: City, State, Zip:
Birthday:
Are you a student? (yes) (no) If so, where?
Employer: Position:
1. Name: Phone: Email:
2. Name: Phone: Email:
3. Name: Phone: Email:
How did you hear about Listening Heart?
Why would you like to volunteer at Listening Heart?
Describe any previous experience which might help you as a help-line volunteer:
Listening Heart volunteers help people from varied backgrounds with different values and lifestyles. Are there any types of caller or issue which might be difficult for you to handle non-judgmentally?
Crisis intervention work can be stressful. What causes stress in your life, and how do you deal with it?
Have you recently experienced any significant loss in your life? If so, briefly describe it.
What do you hope to gain from volunteering at Listening Heart?
Do you have any concerns about potential conflicts with your committment to Listening Heart (remember, you will have 40 hours of training, and a 5-hour weekly shift for at least 220 hours - about a year)? If so, describe.
The following is a pre-training test required by all applicants. We do not expect you to necessarily know the answers or to do well on this test. It is just an instrument used to gauge where people are at before they are trained. You will take a more extensive test after training which will include these questions. Don't stress over this, don't research anything...just answer with something that makes sense to you without having to think about it too much.
1. What are six symptoms of depression?
2. Depression can be caused by which of the following? (check all that apply)
Some medications Family history of depression Organic Chemistry Class Certain Diseases A traumatic event
3. Name three different types of domestic abuse:
4. Listening Heart is a counseling service. True or False?
True
False
5. What can people call Listening heart about?
6. What are three personal qualities that a listening Heart Volunteer must possess?
7. What are three warning signs that someone may be considering suicide?
8. A man calls Listening Heart and says that he just found a bag of marijuana in his 13-year-old son's sock drawer. List four emotions that the father might be experiencing:
9. What does it mean to establish rapport?
To find out why someone called To get the caller to agree on a solution To create feelings of respect and trust To give a caller good advice
