Volunteer Application Thank you for your interest in becoming a volunteer with Partners In Action. The information on this form will help us find the most satisfying and appropriate volunteer placement for you. Items in red are required. Name: Date of Birth: Address: Postal Code: Phone Number: Work Phone Number: Fax Number: Email: Why are you interested in volunteering for Partners In Action? What do you hope to gain from your volunteer experience? What are your personal goals for the future in the Not for Profit Sector? SKILLS AND ABILITIES: (Please check any of the following skills/abilities that you bring to a volunteer position.) Medical Dental Counseling Teaching / TESL ECE / CEA / HSW Public Speaking Event Planning Public Relations Fund Development Grant Writing Architecture Engineering Carpentry Electrical Plumbing Painting Mechanic Construction Water Management Agricultural Clerical Accounting Computer Webpage design Graphic design Sports/Recreation Coaching Music Dance Photography EDUCATION: (Please give a brief outline of your education background.) PREVIOUS EXPERIENCE: (Volunteer or work; please provide name of organization, dates, address and position.) POTENTIAL AREAS OF VOLUNTEER OPPORTUNITIES: (Please check areas of interest.) Office administration (phone, filing, data entry, etc.) Special projects/events International placement (short/long term) Short-term team, international Multimedia Occasional menial tasks (sorting/packing items, stuffing envelopes, etc.) Other (please specify below): LOCATION: I would prefer to volunteer: Locally Internationally Virtually AVAILABILITY: How many hours per week/month can you honestly devote to volunteering? What is the expected duration of your volunteer commitment? When are you available to begin volunteering? What days and hours are you available? Monday Tuesday Wednesday Thursday Friday Saturday Sunday You may be required to submit to a criminal record search, depending on the volunteer position. Do you have any objections? Yes No EMERGENCY INFORMATION: Emergency contact name: Phone number: Relationship: Do you have any medical conditions that may affect your volunteering? Yes No If yes, please explain: REFERENCES: Please provide the names of three persons, not related to you, who are familiar with your character and/or qualifications. References should have known you for at least two years. Each will be contacted by phone and asked to respond to a short questionnaire. All responses will be confidential. (Please supply name, address, postal code, and telephone number.) First Reference Name: Address: Postal Code: Phone Number: Second Reference Name: Address: Postal Code: Phone Number: Third Reference Name: Address: Postal Code: Phone Number: AUTHORIZATION FOR COLLECTION OF PERSONAL INFORMATION: I authorize Partners In Action to collect personal information appropriate to the position applied for concerning my academic background, employment history, and verify the character references I have supplied. PLEASE READ CAREFULLY: I understand and agree that volunteering and continued volunteer services with Partners In Action are conditioned upon: Observance of the rules, regulations, and instructions governing volunteerism by Partners In Action as in effect at the time of volunteering, or established at any subsequent time Fulfilling a criminal record check; if required The verification of statement made by me in this application. Statement: I hereby certify that all statements made in respects to my application are true and complete to the best of my knowledge. I agree and undertsand that any false statements of material facts in my application will forfeiture on my part all rights to volunteer with Partners In Action. I also acknowledge that Partners In Action is not obligated to use my services as a volunteer in any way. I have read and understand the above statement. Notice of Collection of Information Personal information collected on this form is collected for the purpose of processing this applicaiton and administration and enforcement. Personal information on this form is collected under the Freedom of Information and Protection of Privacy Act, and is necessary for the operation of Partners In Action.
Volunteer Application
Thank you for your interest in becoming a volunteer with Partners In Action. The information on this form will help us find the most satisfying and appropriate volunteer placement for you. Items in red are required.
Why are you interested in volunteering for Partners In Action?
What do you hope to gain from your volunteer experience?
What are your personal goals for the future in the Not for Profit Sector?
EDUCATION: (Please give a brief outline of your education background.)
PREVIOUS EXPERIENCE: (Volunteer or work; please provide name of organization, dates, address and position.)
POTENTIAL AREAS OF VOLUNTEER OPPORTUNITIES: (Please check areas of interest.) Office administration (phone, filing, data entry, etc.) Special projects/events International placement (short/long term) Short-term team, international Multimedia Occasional menial tasks (sorting/packing items, stuffing envelopes, etc.) Other (please specify below):
LOCATION: I would prefer to volunteer: Locally Internationally Virtually
AVAILABILITY: How many hours per week/month can you honestly devote to volunteering?
What is the expected duration of your volunteer commitment?
When are you available to begin volunteering?
EMERGENCY INFORMATION:
Do you have any medical conditions that may affect your volunteering? Yes No If yes, please explain:
REFERENCES: Please provide the names of three persons, not related to you, who are familiar with your character and/or qualifications. References should have known you for at least two years. Each will be contacted by phone and asked to respond to a short questionnaire. All responses will be confidential. (Please supply name, address, postal code, and telephone number.)
First Reference Name: Address: Postal Code: Phone Number: Second Reference Name: Address: Postal Code: Phone Number: Third Reference Name: Address: Postal Code: Phone Number:
AUTHORIZATION FOR COLLECTION OF PERSONAL INFORMATION: I authorize Partners In Action to collect personal information appropriate to the position applied for concerning my academic background, employment history, and verify the character references I have supplied.
PLEASE READ CAREFULLY:
I understand and agree that volunteering and continued volunteer services with Partners In Action are conditioned upon:
Statement: I hereby certify that all statements made in respects to my application are true and complete to the best of my knowledge. I agree and undertsand that any false statements of material facts in my application will forfeiture on my part all rights to volunteer with Partners In Action. I also acknowledge that Partners In Action is not obligated to use my services as a volunteer in any way.
I have read and understand the above statement.
Notice of Collection of Information Personal information collected on this form is collected for the purpose of processing this applicaiton and administration and enforcement. Personal information on this form is collected under the Freedom of Information and Protection of Privacy Act, and is necessary for the operation of Partners In Action.
