CAPITAL AREA RESPONSE EFFORT

(C.A.R.E)

MISSION STATEMENT/VOLUNTEER JOB DESCRIPTION

 

The mission of the Capital Area Response Effort is to reduce family violence in Ingham County by drawing on the resources of various community groups to intervene both in the short-term and the long-term with families affected by domestic violence.  Such community resources include volunteers, law enforcement, legal systems, domestic violence shelters, higher education, state churches, social service providers, medical personnel, and emergency services.

 

The first priority of the response effort is the immediate safety of the victims.  Further, community intervention is understood to be an important tool in breaking the cycle of violence.  As such, immediate intervention with families

will occur at the time that an incident of violence against a partner is identified.  Further, longer-term support and ongoing intervention are seen as necessary to assist victims and their families in stopping the violence.   Thus community resources will be accessed, with support from the volunteer teams and professional staff, to provide that

assistance to victims and their families in needed areas.

 

Volunteer Job Description:

 

                Volunteers, working in cooperation with the Lansing Police Department, Lansing Township Police                   Department, East Lansing Police Department, Meridian Township Police Department, and Michigan State

                University Police Department, work with victim of domestic violence to provide support and resource

                information.  This will be done through on-site crisis intervention at the time of the incident and through                        ongoing advocacy and assistance to the victim.  Volunteers are asked to be on call approximately 2 days

                every 6 weeks.

 

Responsibilities:

 

1.        Provide two references

2.        Participate in a short interview

3.        Complete approximately 40 hours of training (held over two weekends)

4.        Agree to a review of criminal history and driving records

5.        Along with another team member, arrive on scene within 30 minutes of receiving a call

6.        Provide emotion support and resource information to the survivor

7.        Complete all necessary forms while on call

8.        Attend monthly in-service meetings.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                 

 

CAPITAL AREA RESPONSE EFFORT

                                                    C.A.R.E.

                                    VOLUNTEER APPLICATION

 

INSTRUCTIONS TO APPLICANT:

Please fill out the entire application.  Two letter of personal recommendation, which is included in this packet, will be needed before acceptance into the program.  Please give them to the individuals recommending you, and have them send it directly to the CARE address listed on this application. A minimum commitment time of six (6) months is required for participate as a volunteer for the C.A.R.E. Program.

 

DATE        /        /          Date of Birth       /        /         Ethnicity _____________

 

NAME_________________________________________________________________

                          Last                                                 First                                  Middle

 

ADDRESS______________________________________________________________

                          No/Street                                           City/State                        Zip

 

SUMMER ADDRESS_____________________________________________________

                                      No/Street                                           City/State                      Zip

 

PHONE NO.  Home (      )_________________________   Work (      )_____________

 

EMAIL ADDRESS___________________________      SS #_____________________

 

Do you have a valid drivers license   YES    NO    Drivers License #________________

 

Do you have a reliable vehicle available for your use?          YES      NO

 

List any languages you speak other than English:  _______________________________

 

Do you know American Sign Language?     YES     NO

 

Do you have any criminal charges currently pending against you?    YES     NO

 

Have you been convicted of any crime in the last seven years?        YES    NO

If yes, list when, where and type of offense

 

Have you had any personal experience with domestic or family violence - including child abuse or elder abuse?    YES      NO          If yes, when and how was the situation resolved?

 

 

Length of time you are willing to commit to this Response Team             months______                       

 

Indicate who should be notified in case of  an emergency.

 

________________________________________________________________________

Name                                                        Relationship                              Phone

 

________________________________________________________________________

Address                                                            City/State                                 Zip

 

 

High School Diploma     YES     NO    If no, last grade completed

 

Are you currently a college student?   YES     NO

 

Present College

 

______________________________________________________________________________

 Name                                              City/State                            Major                               Degree

 

 

Previous College

 

_______________________________________________________________________________

Name                                                City/State                           Major                               Degree

 

 

Present Employment 

 

_______________________________________________________________________________

Employer                                            Address                                               Phone #

 

                                                                                                                       

_______________________________________________________________________________                                                                                                                       

Employer                                              Address                                               Phone #

 

 

 

List any other training information, knowledge, skills, abilities, and/or interests, which you feel may add to your qualifications for domestic/family violence volunteer work.

 

 

 

 

 

I certify that the information I have given on this form is true and complete, to the best knowledge. I recognize that any misrepresentation or falsification will be cause for rejection of this application or for dismissal.  I authorize the Capital Area Response Effort (C.A.R.E.) to verify any statement contained within this application and will execute authorizations for the release of information as required.

 

 

 

Applicant’s Signature___________________________________      Date_____________

                                                     

                                                                           Return application to:

                                                                   Telihia Dobson

                                                  C.A.R.E Program

                                                  3400 South Cedar St.

                                                  Lansing, MI.  48910    Phone (517) 272-7491                

 

 

Revised 2/04

 

 

 

 

 

 

 

 

 

Reference Form

C.A.R.E Project

 

 

Name of Applicant: _____________________________________________________________

 

Name of referee:_________________________________    Phone:_______________________

 

Address:____________________________     City, State__________________   Zip_________

 

 

I give my permission to the person identified above to provide a reference as a part of my

application to participate as a volunteer in the C.A.R.E. Project.  I understand that as a matter of general C.A.R.E. policy, references are confidential, for review by project staff only.

Signature______________________________________  Date_________________
 
 

 

 

 

 

 

 

 

 


Dear Community Member,

 

You have been asked to complete a reference for the applicant named above.  S/he is applying to

be part of a group of volunteers who are working together to reduce domestic violence in the City of Lansing.  If all phases of the program are completed successfully, the applicant will be part of a team of two which will got to homes to talk with victims of domestic violence immediately following police intervention.  All volunteers will participate in extensive training and will receive supervision.  However, in order to assure that all volunteers are appropriate for this crisis intervention work, we are asking for two references, among other requirements.  It would help our evaluation if you could complete the following and return it to the address listed at the bottom of the next page as soon as possible.  The volunteer’s application cannot be completed until form is returned.

 

1.      How long have you known the applicant? __________________________________________

2.      In what capacity have you known the applicant?_____________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.      Please use the chart below to assess the applicant in each area.  Check the appropriate number for

each item, and add any comments you deem appropriate.

 

 

1

2

3

4

Comments

Dependability/follow-

through

 

 

 

 

 

Punctuality

 

 

 

 

 

 

Willingness to learn

 

 

 

 

 

 

Communication skills

 

 

 

 

 

 

Ethical conduct

 

 

 

 

 

 

Ability to work as part

of a team

 

 

 

 

 

Respect for others

particularly those of

different backgrounds

 

 

 

 

 

Judgment

 

 

 

 

 

 

Ability to stay calm in crises

 

 

 

 

 

 

 

(1) Excellent          (2) Average      (3) Poor           (4) No basis for judgment

 

____ I recommend the applicant for this work.

 

____I recommend the applicant with reservations.

 

____I do not recommend the applicant.

 

4.      Other comments?  Please attach a separate sheet.

 

 

Signature________________________________________   Date____________________

 

Return to:        Telihia Dobson

                       CARE

                       3400 S Cedar

                       Lansing, Mi  48910

 

 

 

 

 

 

 

 

 

 

 

 

 

Reference Form

C.A.R.E Project

 

 

Name of Applicant: _____________________________________________________________

 

Name of referee:_________________________________    Phone:_______________________

 

Address:____________________________     City, State__________________   Zip_________

 

 

I give my permission to the person identified above to provide a reference as a part of my

application to participate as a volunteer in the C.A.R.E. Project.  I understand that as a matter of general C.A.R.E. policy, references are confidential, for review by project staff only.

Signature______________________________________  Date_________________
 
 

 

 

 

 

 

 

 

 


Dear Community Member,

 

You have been asked to complete a reference for the applicant named above.  S/he is applying to

be part of a group of volunteers who are working together to reduce domestic violence in the City of Lansing.  If all phases of the program are completed successfully, the applicant will be part of a team of two which will got to homes to talk with victims of domestic violence immediately following police intervention.  All volunteers will participate in extensive training and will receive supervision.  However, in order to assure that all volunteers are appropriate for this crisis intervention work, we are asking for two references, among other requirements.  It would help our evaluation if you could complete the following and return it to the address listed at the bottom of the next page as soon as possible.  The volunteer’s application cannot be completed until form is returned.

 

1.      How long have you known the applicant? __________________________________________

2.      In what capacity have you known the applicant?_____________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.      Please use the chart below to assess the applicant in each area.  Check the appropriate number for

each item, and add any comments you deem appropriate.

 

 

1

2

3

4

Comments

Dependability/follow-

through

 

 

 

 

 

Punctuality

 

 

 

 

 

 

Willingness to learn

 

 

 

 

 

 

Communication skills

 

 

 

 

 

 

Ethical conduct

 

 

 

 

 

 

Ability to work as part

of a team

 

 

 

 

 

Respect for others

particularly those of

different backgrounds

 

 

 

 

 

Judgment

 

 

 

 

 

 

Ability to stay calm in crises

 

 

 

 

 

 

 

(1) Excellent          (2)Average       (3)Poor            (4) No basis for judgment

 

____ I recommend the applicant for this work.

 

____I recommend the applicant with reservations.

 

____I do not recommend the applicant.

 

4.      Other comments?  Please attach a separate sheet.

 

 

Signature________________________________________   Date____________________

 

Return to:        Telihia Dobson

                       CARE

                       3400 S Cedar

                       Lansing, Mi  48910

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To:______________________________________________________________________

 

 

           I respectfully request and authorize you to furnish the Lansing Police

           Department and the Capital Area Response Effort (CARE) any and all

           information you may have concerning my involvement in civil or criminal

           proceedings, Protective Services, arrest records, my work records, driving

record, and my reputation. Please include any and all reports, regarding

information of a confidential or privileged nature including but not limited

to academic records.  This information is to be used to assist CARE in

determining my qualifications and fitness for the position I am seeking with

the Capital Area Response Effort.

 

I hereby release you, your organization, LPD and CARE from any liability

or damage, which may result from furnishing the information, requested above.

 

Applicant’s Signature__________________________________________

 

Date________________________________