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Apply To Volunteer

1 (417) 782-1772

If you are Interested In Volunteering At One Of Our Facilities

Please Fill Out This Form

Volunteer Application Form

Full Name *

Address *

City *

State *

Phone *

Email *

What skills or areas of expertise would you bring to Lafayette House as a volunteer? *

Which volunteer areas are of most interest to you? *

Benefit Thrift Store

Childcare

Clerical

Kitchen

Maintenance/Custodial

Sexual Assault Advocate

Thrift Store

Other

When are you available to volunteer? *

Days

Evenings

Weekends

Why are you interested in becoming a volunteer? *

How often would you like to volunteer? *

One-time

Recurring

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Have you, or do you have close personal connection with anyone who is currently receiving or has received services from Lafayette House?

To maintain a safe and respectful environment, we ask all applicants to consider the following: Do you have any reason to believe that you could be listed as an abuser?

I understand that my acceptance as a volunteer with Lafayette House is subject to a favorable, routine inquiry of local law enforcement records. I do attest that the information I have supplied is true to the best of my knowledge. I understand that the provision of false information is grounds for my immediate dismissal from Lafayette House’s volunteer services.

Volunteer Application Signature *

Clear

I agree to be contacted via the information provided which may include receive text messages from this organization.

Volunteer Application Date *

Lafayette House is committed to providing the services integral in equipping and empowering clients to achieve independence and well-being in their lives.

Lafayette House services are available without discrimination based on an individual’s race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

View Victim Service Provider Database Privacy Notice

Contact Us

Full Name *

Email *

Phone

Which program area(s) are you seeking services? *

Domestic Violence

Sexual Assualt

Substance Use Disorder

What is a Safe Way to Contact You - Email or Phone? *

Email
Phone
Both
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Describe Your Situation *

I agree to be contacted via the information provided which may include receive text messages from this organization.