HOPE Works Hotline Volunteer Form:

Name of Service User *
Name of Service User
Date *
Date
Select Type of Inquiry *
Contact Method *
Safe To Call Back?
Safe To Leave A Message?
First Time Caller?
Total Time Spent**
**Please include filling out paperwork, check in calls to your back up, and follow-up messages to appropriate staff
Please Check All That Apply
Victimization
Perpetrator Relationship
Services Provided
Referrals TO (check all that apply)
Referrals FROM (check all that apply)