Research Volunteer Application Form 


Note: Accessing this page means you agree with and accept the terms of our Research Volunteer Application. 


Personal Information: Please tell us about yourself (required) 

First Name: 

Last Name: 

Address : 

City: 

State/Province/Region: 

Country: 

E-mail: 

Web: 

Academic Background: If you feel you qualify as a Research Volunteer due to having at least two years 
post-secondary education in an academic major such as: criminology, psychology, social work, sociology 
or victimology, please tell us about your degrees/certificates, your present degree program (if any), etc. 
Include your educational institution's name and contact information, as well as the name and contact information 
of your professor, departmental dean, academic advisor or mentor. Contact information should include: name 
and title, street address, city, country, postal code, telephone, fax, e-mail and web page:




Experience Background: If you feel you qualify for the Research Volunteer Program due to having at least 
two years experience with a crime victim crisis service or a formal victim support organization, please provide 
details of your service including: your duties, the period of time you served, and any positions you held. 
We require you to provide a reference from the service(s) in question, including: the name of the service, the 
executive director or other main contact person's name, their address, country and postal code, as well as 
their telephone number, fax number, e-mail address and web page:




Linguistic Expertise: Please list any languages / language groups you are literate in:




Cultural Experience: Please list any in-depth knowledge of, or personal experience with, a national, regional or 
ethnic culture which you feel would assist you in locating victim assistance / victimology resources for that population:




Areas of Interest: If given your choice, what: topic(s) from our link directories would you be interested in taking 
responsibility for researching online? If you would like to take responsibility for a particular language group, 
culture or ethnic/national population, please provide details:




Are you familiar with, and comfortable in using, Google Tools, including Language Tools? 
Yes: 
No: 

If you have experience in moderating or managing Internet communication mediums such as listservs, blogs, 
web forums, CMS, etc, please list your areas of experience, giving URLs of the sites/mediums in question:




If accepted, would you wish to have your name and contact information listed on a publicly viewable Research Volunteers webpage? 
Yes: 
No: