Speakers Bureau Application Speakers Bureau Application If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Applicant Name * Date Address * Daytime Phone * Evening Phone * Emergency Contact Number * Email Address * How did you hear about this? What do you think is the goal of the VIBS Speakers Bureau? Why do you want to do this kind of work? Describe the personal qualities you have that would benefit the speakers bureau. How has your past work/volunteer experience prepared you for this kind of work? What difficulties do you think you would have with this kind of work? What is your current availability? How would volunteering fit in with your schedule? Write a short paragraph describing your impression of the impact a volunteer speaker can have on a sexual assault or domestic violence survivor in the audience. True or False: TRUE FALSE Most people still believe myths about rape. TRUE FALSE Stranger rape is more traumatic than date rape. TRUE FALSE Batterers are abusive because they loose control. TRUE FALSE Men can be victims of domestic violence as well. TRUE FALSE Alcohol and drugs cause domestic violence and rape. TRUE FALSE Rape is a crime of passion, most rapists do it for the sexual pleasure. List 3 common reactions a victim can have after a rape. List 3 obstacles (personal or social) victims face when attempting to leave an abusive relationship. Agree or Disagree: Strongly Agree Somewhat Agree Strongly Disagree I am always dressed appropriately for work. If asked to make a presentation in the community, my appearance would allow me to be taken seriously as a professional. Strongly Agree Somewhat Agree Strongly Disagree I refrain from sharing inappropriate personal information with clients, co-workers, and supervisors. Strongly Agree Somewhat Agree Strongly Disagree I am receptive to constructive suggestions regarding my performance. I do not take comments personally, become defensive or point out faults in others. Strongly Agree Somewhat Agree Strongly Disagree I take responsibility for my actions. If I were uncomfortable with or disagreed with a policy or decision, I would Please describe how you would handle TWO of the following situations. You are teaching a class about sexual assault and a student begins to share some very personal and obviously painful experience about her own past victimization. During a speaking engagement the teacher who invited you makes a very inappropriate and stereotypical comment about rape victims. During a discussion about male rape, you hear a participant make a homophobic comment which seems to go unnoticed by the other members of the group. Before a presentation, you are made aware that a student in the class has a history of sexually harassing female students, and is currently on probation for a sex offense. Do you alter your presentation? Why or why not? Answer 1 Answer 2 Victims Information Bureau of Suffolk operates from a position of respect for all of our clients, staff and volunteers regardless of: race, sexual orientation, ethnicity, religion, ability, age or gender. Any volunteer who shows intolerance to diversity will be immediately dismissed from the program.
