PORTLAND REFUGEE SUPPORT GROUP
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PRSG Volunteer Application Form
WARNING
:
If you use your smartphone to submit this form we may not receive it. Please use a computer. Thank you!
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Indicates required field
Today's Date (month/day/year)
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Legal Name
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First
Last
Preferred Name / Nickname - if different (optional)
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Email (please make sure it's correct)
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Cell Phone Number
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Instagram
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Facebook
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LinkedIn
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Twitter
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Gender
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Male
Female
Other
Are you a US citizen or have a social security number?
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Yes
No
Other
Other (explain below)
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Note that we are not asking for your social security number, but you must have a social security number to volunteer with us.
How old are you?
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Date of birth (month/day/year)
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Note that you must be 18 years of age or older to volunteer
Name of emergency contact
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First
Last
Relationship
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Cell Phone
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Do you have a background check that's less than a year old?
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If yes, can you provide us with a copy of your background check ASAP?
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Besides English, what languages do you speak?
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If you speak both English and another language, are you willing to interpret or translate for refugees if needed?
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What's your occupation?
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Do you have any special technical skills or certifications?
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Do you have previous volunteer experience or volunteer anywhere else currently?
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What abilities, experiences or interests do you have that may be beneficial to PRSG?
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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
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What are your personal goals for this experience?
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Do you have a specific number of volunteer hours you want to complete for school, work, etc? If yes, how many hours total?
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Is there a specific client you would like to help?
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I will inform the Volunteer Coordinator if I'm unable to volunteer temporarily or permanently
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I will provide my status update, when asked
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I will provide my monthly hours of volunteering, when asked
Do you have any health issues or limitations that we should be aware of?
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I will email PRSG a picture of a valid photo ID, ASAP (for safety, please cover ID #)
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I will email PRSG my photo (headshot), ASAP
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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
Any comments?
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Full Name - Entering your name means that you’ve officially “signed” this form
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Thank you. Your information has been submitted
" or you see the message "
Please correct the highlighted fields
".
Submit
Due to the high volume of volunteer applicants we kindly ask for your patience.
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