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PRSG Volunteer Application Form
*
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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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.
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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Besides English, what languages do you speak?
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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
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 ENTER MY UNAVAILABLE DATES WHEN I CANNOT BE AVAILABLE TO MY FAMILY FOR 5 DAYS OR MORE
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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
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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?
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YES
NO
WOULD YOU LIKE A LINK FOR A BACKGROUND CHECK TO BE EMAILED TO YOU?
*
YES
NO
Any comments?
*
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
".
Submit
Due to the high volume of volunteer applicants we kindly ask for your patience.
Home
About
OUR MISSION
Who We Are
What We Do
Our Partners
Newsletter
Events
Volunteer
Get Involved
Financial Aid Request
Invest
Resources
Contact