EVERYONE MUST ANSWER THESE QUESTIONS

    ​A "YES" response to either of the above questions automatically disqualifies you from volunteering for Rockford
    Sexual Assault Counseling, Inc. If you answered "YES," please discontinue filling out this form. If you answered 'NO," please complete the remainder of the form.
    I affirm, under the penalty of perjury, that the answers to the above questions are turthful.

    Volunteer Medical Advocate Application

    Signature

    I will observe the confidentiality mentioned above and adbide by the guidelines and procedures for volunteer advocates.
    By putting your electronic signature here, you certify all above information is truthful and agree to the above statement of confidentiality.

Learn More.

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United Way of Boone County
RSAC is a registered 501(c)(3)
RSAC has been serving the Winnebago, Boone and Ogle County areas for over 35 years. Click here to learn more about our mission to help end sexual violence.
RSAC serves all individuals regardless of race, gender, religion, class or sexual orientation.

If you are in need of a reasonable accommodation, please reach out to
RSAC Executive Director,
Erica Engler at 815-636-9811.
RSAC provides 5 essential services in all 3 counties. Click on what you are interested in learning more about.
If you are in crisis, call our hotline. It is available 24 hours a day, 365 days a year.

Or call us to learn more about how you can become a volunteer.