Volunteer




	Suicide Prevention 800.273.TALK 800.SUICIDE

	Crisis Intervention 800.833.2900

	Grief Counseling 800.837.1818

	211 Info & Referral 211

	Homeless Services 800.808.6444

	Youth Services 800.863.7600

	Training 925.939.1916

	Diversity
	How You Can Help
	Donate

	Volunteer

	Newsletter

	Event



Volunteer Information Form

First Name:		Last Name:
Address:
City:		Zip Code:
Home Phone:		Cell Phone:
Work Phone:		Extension:
Email:
Best Way to Reach Me:
	Volunteer Areas of Interest (check all that apply) Telephone Crisis Counselor (age 21 or older) Face-to-Face Grief Counselor (age 21 or older) Youth Services (age 21 or older) Mental Health Screener (licensed psychologist, MFT or LCSW) Leftovers Thrift Shop (sales experience helpful)

Languages spoken, in addition to English:

Do you require any special accommodations due to a disability?

How did you learn about the Contra Costa Crisis Center?

New volunteers are expected to:

1. Satisfactorily complete the required training.

2. Pass a free, mental health screening prior to beginning work at the Crisis Center. (Applies to crisis line, grief counseling volunteers, and youth services.)

3. Pass a confidential criminal background check. (Applies to grief counselors and youth services.)

4. Work a four-hour shift weekly for at least one year, following the completion of training. (Applies to crisis line volunteers.)

5. Attend review seminars and/or in-service training's whenever possible during the year. (Applies to crisis line volunteers.)

I agree to the above terms:

Volunteer Information Form