Volunteer Application

First Name

Last Name

Phone No.

Date of Birth

Address

Have you been convicted of crime other than a minor traffic violation?

Yes No

If yes to the above question, please explain. (Note that conviction of a crime does not constitute automatic disqualification from volunteer service)

Educational Background

Current occupation

Previous Volunteer Experience

Cross Cultural Experience

Why are you interested in working with refugees?

Foreign Languages Spoken (please indicate level of fluency)

Special Skills or Interests

Volunteer Opportunities (Please check next to the programs of interest)

Family Partners Program Airport pick-up (auto insurance required) After-school program tutor (3-5 p.m. Monday through Thursday) Job preparation & development English as a Second Language Resettlement Casework volunteer Pre-arrival preparation (apartment set-up prior to refugee arrival)

Other Volunteer/Internship Interests? (Please describe here)

If other, please explain

VOLUNTEER APPLICATION

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