AshaKiran Volunteer Application
Thank you so much for volunteering your time and expertise to help us keep "A Ray of Hope" alive Please fill out the following Volunteer Application. If a question does not apply to you please put N/A and also note any preferences. Thank you once again and welcome to the Volunteer team!
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Do we have permission to text you at this number?
*
Yes
No
Gender
*
Please Select
Female
Male
Non-Binary/Non-Conforming
Transgender
I prefer not to say
Other
Preferred Pronouns
Please Select
She/Her
He/Him
They/Them
Ze/Hir-Zir
Ve/Ver
I prefer not to say
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List the contact information of your Emergency Contact:
Areas of Special Interest
Please select areas that interest you or you would be willing to volunteer. Note: We do our best to place volunteers where they are most interested. However at times you may be placed in another area.NOTE: Direct Services and Internships may require additional training and requirements.
Direct Services- Work directly with clients
ASHALINE VOLUNTEER: responds to calls from 24HR crisis phone AshaLine “Hope-Line” (Training Required)
TRANSPORTATION: provide rides for clients to various community outings such as medical appointments, etc.
TRANSLATION/INTERPRETATION: translate needed documents, AK flyers, interpretation on phone/in person
DONATION ASSISTANCE: Picking up large items or donations from community partners etc.
Indirect Services - provide organizational support
ADMIN ASSISTANCE : Basic office or clerical work.
TECH SUPPORT: create content, data base, maintenance, etc. for AK website
PUBLICITY/MARKETING:: may distribute flyers about upcoming events etc.
EVENTS: assist with AK booth displays, event logistics, etc
FUNDRAISING: assist with AK fundraising efforts
VOLUNTEER COORDINATION: recruit additional volunteers etc
Availability for Volunteer Shifts (this section can change according to your availability or needs)
Monday morning
Monday afternoon
Monday night
Tuesday morning
Tuesday afternoon
Tuesday night
Wednesday morning
Wednesday afternoon
Wednesday night
Thursday morning
Thursday afternoon
Thursday night
Friday morning
Friday afternoon
Friday night
Saturday morning
Saturday afternoon
Saturday night
Sunday morning
Sunday afternoon
Sunday night
Have you volunteered with AshaKiran before?
*
Yes, in the past six months
Yes, but more than six months ago
No
Are you volunteering to meet any requirements for a scholarship, merit, and/or community service program?
*
Yes
No
Are you interested in an internship with AshaKiran?
*
Yes
No
What is your availability to volunteer? (Dates/times)
Please describe any work/volunteer experience you have. In what areas do you feel you have moderate to excellent skills?
*
Tell us what motivates you to volunteer and why you chose AshaKiran
*
Additional Comments
Conditions of Acceptance
To be accepted fully as an AshaKiran Volunteer you must adhere to the below policies: 1. Completion of required AshaKiran New Volunteer Training (will be scheduled) 2. Adherence to policy of confidentiality. 3. Demonstrated Cultural Competency and ability to respect others 4. Demonstrated ability to apply concepts and techniques presented in training. 5. Understanding of policies and procedures.
By signing below, I certify that the information provided in this application is true and correct to the best of my knowledge
*
Yes, I certify that all information is correct to the best of my knowledge.
No, I do not certify that all information is correct. I understand that my application will not be accepted.
Volunteer Signature
*
Clear
Thank you!
The volunteer coordinator should be in touch soon. Feel free to reach out if you have any questions
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