Application Form

WARNING: If you use your smartphone to submit this form we may not receive it. Please use a computer. Thank you!

Preferred Name / Nickname - if different (optional) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Are you a US citizen or have a social security number? *

Yes No Other

Note that we are not asking for your social security number, but you must have a social security number to volunteer with us.

Note that you must be 18 years of age or older to volunteer

Besides English, what languages do you speak? *

Do you have any special technical skills or certifications? *

Do you have previous volunteer experience or volunteer anywhere else currently? *

What abilities, experiences or interests do you have that may be beneficial to PRSG? *

I understand that, if assigned to a family, I am expected to contact my refugee family once per week

What are your personal goals for this experience? *

Do you have a specific number of volunteer hours you want to complete for school, work, etc? If yes, how many hours total? *

Is there a specific client you would like to help? *

I WILL ENTER MY UNAVAILABLE DATES WHEN I CANNOT BE AVAILABLE TO MY FAMILY FOR 5 DAYS OR MORE

I WILL ENTER MY VOLUNTEER HOURS ON A BI-WEEKLY BASIS

Do you have any health issues or limitations that we should be aware of? *

I WILL PROVIDE A COPY OF A GOVERNMENT ISSUED ID AS PART OF MY ONBOARDING

I WILL PROVIDE A PROFILE PICTURE/HEADSHOT FOR MY INTERNAL PRSG PROFILE

WILL YOU PROVIDE A COPY OF A BACKGROUND CHECK FROM THE LAST 6 MONTHS? *

YES NO

WOULD YOU LIKE A LINK FOR A BACKGROUND CHECK TO BE EMAILED TO YOU? *

YES NO

Full Name - Entering your name means that you’ve officially “signed” this form *

∙ Make sure you click the SUBMIT button well, until you see the confirmation message "Thank you. Your information has been submitted" or you see the message "Please correct the highlighted fields".

PRSG Volunteer Application Form