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Advocate Application Form

  1. Volunteer Advocate Application

    HINTON VICTIM SUPPORT SERVICES 111 Civic Centre Road Hinton, AB T7V 1T8

  2. After successful completion of the standardized volunteer training and evaluation, and other requirements, including security clearance by the appropriate police service, potential volunteers may be qualified as a Victim Services Advocate with your local Victim Services Unit (VSU). Victim Services Units (VSUs) in Alberta are police-based programs that may be administered by a Board of Directors of a non-profit society or a municipal police service. VSUs provide support to victims and include staff (generally a Program Coordinator and may include additional staff members) and volunteer Advocates. Once qualified, the volunteer Advocate will respond immediately to referrals to provide short term emotional support and practical assistance to victims of crime or tragic circumstance. The volunteer will ensure that appropriate options and/or referrals for longer term assistance are provided to the victim.

  3. hvss_logo

  4. Personal Information

  5. month/day/year

  6. Do you have a valid Alberta Driver’s License? *

  7. Has your license ever been suspended or revoked? *

  8. Do you have a vehicle?

  9. Have you ever been convicted of a criminal offence?*

  10. Education:*

    (check all that apply)

  11. How did you learn about Victim Services:*

    (check all that apply)

  12. If yes, please list their names

  13. Are you legally entitled to work in Canada?

  14. References

  15. What do you hope to gain from this experience?

  16. Are you willing to volunteer with Victim Services in a capacity other than an advocate role? *

    (Fundraising, Community Events, etc)

  17. Statement

    I, the individual named above, hereby give permission to the Office of Hinton Victim Support Services to obtain all information necessary to qualify me as a volunteer advocate of the Hinton VSU Program, including an RCMP Criminal Record Check and Vulnerable Sector Check. ATTENTION: I acknowledge any false information given on this application will be grounds for denial of acceptance or immediate dismissal.

  18. Confirmation*

    Do you understand the above statement?

  19. If you understand the above statement and certify the information provided to be correct to the best of your knowledge, please re-enter your full name as confirmation

  20. Leave This Blank:

  21. This field is not part of the form submission.