PLV Questionnaire - Crisis Clinic

My greatest asset for becoming a Crisis Clinic volunteer is*

My greatest limitation for becoming a Crisis Clinic volunteer is*

When I am anxious about a personal problem, I*

People who have chronic mental illnesses are*

The use of marijuana is*

Abortion should be*

People who are sexually abusive are*

People from other countries who believe America is a threat are*

Religion is*

Homosexuals should*

People who are behind on their bills are*

Briefly describe a personal crisis you have experienced and how you handled the situation:*

How did you hear about volunteering at The Crisis Clinic of Thurston and Mason Counties?*

Which radio station?*

Explain other*

Acceptance as a Crisis Clinic Volunteer requires the following commitments:

Committing to one 4-hour shift each week and six overnights (overnight shifts do not apply to teen/youth volunteers)*

Attending all trainings and five weekly phone room training shifts*

Completion of a minimum of 200 hours of phone line shifts after training (minimum of 100 hours for teen/youths)*

Submitting to a Washington State Patrol background check*

Abiding by all Crisis Clinic policies and procedures*

Parental consent required for teen/youths (15-18 years of age)*

Parent Signature*

Date of Parent Signature*

Signature*

Date*