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SAVE Rockbridge County, VA

Rockbridge County, VA, USA 952-946-7998 saverockbridgecountyva@save.org

Information

There continues to be a stigma reaction to individuals that have a mental illness or seek help for emotional distress. This negative reaction from family, friends, and the general public make it more difficult for individuals in distress to seek help as well as to recover. I want to increase awareness by encouraging those affected to talk freely and choose empowerment over shame. I want to educate others of the signs of mental illness and the support that is available. Everyone needs to be reminded that someone in this life feels better because they exist. I want to be one of the people giving out those reminders. This is the beginning of my story to make a difference.

If you are need of resources, materials, or assistance, please call the SAVE National Office at (952) 946-7998.

Charter Chairman Lead: Kim Wheeler
Survivor Support Lead: Mackenzie Wheeler
Fundraising Lead: Stacy McCoy
Volunteer Lead: Avis Cook
Resources Lead: Madison Davis
Social Media Lead:

NON Volunteer Application Form

Step 1 of 5

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Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
What city or region do you anticipate your charter representing?

Work/Volunteer Experience
Current Employer*
Position*
How long have you been at your current job?*
Position
Are you a student?*
- Yes
- No
Name of School/Location
Skills/Languages Spoken/Special Interest
Current/Previous Volunteer Experience or Training

Availability
Have you lost a friend or loved one to suicide?
Do you have any experience with mental illness?
Opportunities - Please check all that apply
- Conference / Event Table / Booth Staffing - Attend various health, awareness and educations fairs in your area. Setup SAVE materials, promote SAVE's programs and services. Some training required.
- Editing / Proofing for Voices quarterly newsletter
- Write letters to Media / Distribute Safe Messaging Guidelines
- Grief Support Volunteer (training required - responding to messages left after SAVE business hours, providing support and resources to suicide survivors)
- Compile information on community resources
- Fundraising / Start and Event
- Community education / Materials distribution
- Local Fundraising Committee
- Local Survivor Support Committee

References
Provide contact information for two references (personal or employment related - if using a relative, please also list a person who is not a relative).
Name - Reference 1*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Relationship*
Name - Reference 2*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Relationship*
www.save.org/volunteer-reference-form

Confirmation
I affirm that the information I have provided in this application form is true and correct to the best of my knowledge. I understand that misrepresentation, omission or falsification of facts in connection with this information may be sufficient cause for cancellation of consideration for volunteer service or termination whenever discovered. Volunteers may work with legally vulnerable adults and/or children. The following questions are required to comply with Minnesota law. Your answers will be handled in a confidential manner.
Have you ever been convicted or been given a suspended sentence, placed on probation, or been imprisoned because of a misdemeanor or a felony?
- Yes
- No
I understand that as a condition of participation in this program that I will be required to provide the following: reference check information. Failure to cooperate or unsatisfactory results may result in withdrawal of an offer to participate in this volunteer program. As a condition of participation in this volunteer program, by typing my name below, I hereby authorize SAVE to conduct an inquiry into any service-related information contained in this application.*
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