Sample website. A fictional organization, not affiliated with the VA.

Talk to the Veterans Crisis Line now

If you are a veteran in crisis or worried about one, connect with caring, qualified responders. Free and confidential, 24 hours a day, 7 days a week. You do not have to be enrolled in VA benefits or health care.

If you are in immediate danger, call 911 or go to the nearest emergency room.

Get more resources at VeteransCrisisLine.net (opens in a new tab)

 (916) 555-0142Contact usEspañol

Web form

Volunteer Application

Thank you for your interest in supporting veterans in our community

How to use this form

Fill it in on screen and print it, or print it blank and fill it in by hand. Bring it to our office or mail it to 1450 Sample Address Drive, Suite 200, Sacramento, CA 95814. This page does not send anything. It is a demo site, and your answers stay on your device.

Download the PDF (PDF, 5 KB, 1 page), opens in a new tab

1. Applicant Information

2. Availability

Days available

3. Areas of Interest

Which kinds of work interest you? Select all that apply.

4. Experience and References

Sign and date the printed form before you hand it in.

A brief background check is required for roles involving direct client contact.

Need help filling this out? Call (916) 555-0142.

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Need help?

Call us

(916) 555-0142

Free and confidential.

Monday to Thursday, 8:00 AM to 6:00 PM.

Friday, 8:00 AM to 4:00 PM.

Visit us

1450 Sample Address Drive, Suite 200
Sacramento, CA 95814

Walk in during office hours. No appointment needed for intake. Hours and directions

In crisis?

Veterans Crisis Line, 24/7: dial 988 then press 1, or text 838255.

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