Individual Volunteer Application

Thank you for your interest in volunteering with Courage Connection. Please fill out the form below. This form will help us assess how your interests and availability fit our current needs.


First Name (Required)

Last Name (Required)

Preferred Phone (Required)

Email Address (Required)


Are you 18 or older? (Required)
Note: Persons under 18 may volunteer at the discretion of the agency and only if accompanied by parent or guardian.

Do you have a valid driver's license?

Interests and Availability
Courage Connection seeks regular, weekly volunteer commitments for children's program, Counseling and Education Program, and hotline volunteers. It also utilizes volunteers for one-time and short-term projects, such as cleaning/ organization, yard work, and fundraisers/events.

In what areas are you interested in volunteering? (Required)
Check all that apply.
*Please note, 40-hour Domestic Violence training is required for all Domestic Violence Hotline and Service volunteers.

Which type of volunteer commitment are you interested in? (Required)
Check all that apply.

If you are available for a weekly, regular commitment, please note what days and times you are available to volunteer.
Please be specific.

If you are available for a one-time, short-term project, please note what days and times you are available to volunteer.
Please be specific.

Please summarize any special skills and qualifications you have acquired from employment, previous volunteer work, or from other activities. (Required)

Please summarize any previous volunteer experience. (Required)

Additional Information

Do you have any special needs that require assistance? (Required)

If you answered yes, please briefly explain.

By submitting this application, I affirm that the facts set forth in it are true and complete and I authorize investigation of all statements contained herein. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my termination from the volunteer program. If accepted, I agree to submit to a background check and provide names of references.
Your typed name qualifies as your signature. (Required)