Name:
Gender: Male Female
Student Number:
Date of Birth:
Local Address:
Local Phone:
E-Mail address:
Permanent Address:
Department, School or College:
Where did you hear of the volunteering opportunities at SAPAC?
Information Tabling
Friend
Dorm
Flyer
SAPAC Staff
Other:
Which volunteer programs are you applying for? (Check as many as apply)
Networking/Publicity/Activism Program
Peer Education Program
Men's Activism Program
1. What are some of the reasons organizations like SAPAC and battered women's shelters exist in our society?
2. What are some of the barriers women of color may face when reaching out for support?
3. Why do you want to volunteer at SAPAC? Why are you applying for this program?
4. What skills or experience do you have or activities are you involved in that might be relevant to your work at SAPAC? How much time do you expect to volunteer at SAPAC?
In order to insure that SAPAC provides safe, reliable service, we ask that you read the statement below and agree to it. Non-agreers will not be considered.
I have never been arrested for or convicted of a felony, assault, domestic violence, criminal sexual conduct or sexual harassment. In addition, I am not currently under investigation or on probation for such offenses, either by a law enforcement agency, the University of Michigan, or any other educational institution. I hereby give my permission to the University of Michigan Department of Public Safety and Security to conduct a security check on me. Contingent on the results of the security check and interview process, SAPAC reserves the right to reject my application. I understand that the information will only be used for the purpose of evaluating my eligibility to be a volunteer for SAPAC. SAPAC cannot be used as a method of fulfilling court ordered or university judicial sentencing community service.
I agree with the above statement
