Volunteer Victim Advocate Application
Name:_________________________________________________________________
Date of Birth:____________________________________________________________
Address (home):_________________________________________________________
Address (mailing):________________________________________________________
Employer:_______________________________________________________________
Employer’s Address:______________________________________________________
Home Phone: ____________________ Work Phone: ____________________________
Cell Phone: ______________________ Email Address: __________________________
Emergency Contact Person & Phone #:________________________________________
How did you hear about Advocate Training?
Please give a brief reason why you want to be an advocate for victims of sexual assault, battering, or other violence crimes.
Please list any experiences or special qualities you feel would help you in this role.
Please return application as follows:
Mail: Women’s Coalition of St. Croix Fax: (340) 773-9062
P.O. Box 222734 Drop off: #7 East Street, Christiansted, VI 00820
Christiansted, VI 00822 Email: wcsc@pennswoods.net
