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

Do you have a background check that's less than a year old? *

If yes, can you provide us with a copy of your background check ASAP? *

Besides English, what languages do you speak? *

If you speak both English and another language, are you willing to interpret or translate for refugees if needed? *

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

If you have any program suggestions please let us know *

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 inform the Volunteer Coordinator if I'm unable to volunteer temporarily or permanently

I will provide my status update, when asked

I will provide my monthly hours of volunteering, when asked

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

I will email PRSG a picture of a valid photo ID, ASAP (for safety, please cover ID #)

I will email PRSG my photo (headshot), ASAP

I will email a copy of a recent background check or have one done through PRSG, which costs $39, or $25 for volunteers between the ages of 18-23

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