솔트 자원 봉사자 신청서 PSALT RISE Volunteer Registration Form

솔트 자원 봉사자 신청서 PSALT RISE Volunteer Registration Form

본 양식은 외부로 유출 되지 말아야 하는 정보를 포함하고 있음으로 철저하게 내부적으로만 사용될 것입니다. 만일 질문이 있거나 도움이 필요한 경우, rise@psaltnk.org로 연락 바랍니다. This form is strictly confidential and will only be used internally. If you have any questions or require assistance, please reach out to us at rise@psaltnk.org.
*는 필수 응답 항목입니다. * : This field is required.
개인정보 Personal Information
이름/성함 Name*

이름 First Name성 Last Name
생년월일 (일자를 고르세요) Date of birth*

MonthDayYear
성별 Gender*

남자 Male여자 Female
전화번호 Phone Number*
해당 번호로 문자를 수신할 수 있습니까? Are you able to receive text messages at this number?*

예 Yes아니오 No
이메일 주소 Email*
example@example.com
선호하는 연락 방식 Preferred method of contact:*

이메일 Email전화 Phone
실거주지역 Location of residence

City

State

도시 City주 State

Country나라 (선택해 주세요). Country
봉사 가능한 시간과 기간 Availability
어느 요일에 봉사 가능하신가요? (해당 사항을 모두 선택해 주세요) Which day(s) of the week are you available? (select all that apply)*

일요일 Sunday월요일 Monday화요일 Tuesday수요일 Wednesday목욕일 Thursday금요일 Friday토요일 Saturday
Sunday availability (select all that apply)*

MorningAfternoonEvening
Monday availability (select all that apply)*

MorningAfternoonEvening
Tuesday availability (select all that apply)*

MorningAfternoonEvening
Wednesday availability (select all that apply)*

MorningAfternoonEvening
Thursday availability (select all that apply)*

MondayAfternoonEvening
Friday availability (select all that apply)*

MorningAfternoonEvening
Saturday availability (select all that apply)*

MorningAfternoonEvening
봉사 가능한 시간을알려주세요. Hours available to commit and timeframe:*
뉴스레터 Newsletter

예, 이 뉴스레터를 구독해 주세요. Yes, subscribe me to this newsletter.
예측하는 봉사 기간 Anticipated commitment level:*

단기적 Short-term시즌한정 (i.e. 여름, 혹은 가을 학기, etc) Seasonal장기적 Long-term무기한 Indefinite
봉사 가능한 시간과 기간에 관해 추가적인 정보를 적어 주세요. Please include any additional information regarding your availability.
Skills and Experience
편한 언어(들)을/를 선택해 주세요. Please select the languages you are comfortable speaking.*

영어 English한국어 Korean중국어 Mandarin러시아어 RussianOther
자원봉사 관심 항목 Volunteer interests:*

영어 과외하기 English language tutoring학교 / 대학교 원서관련 도움 Assistance with school/college applications장학금 /재정보조 지원서 도움 Assistance with scholarship/financial aid applications멘토링 및 진로지도 Mentorship and career guidance학업영어과외 Academic English Tutoring수학과외 Math Tutoring중보기도 Prayer supportOther
English language tutoring — select all that apply:*

Experienced English language tutorCertified ESL teacherCan provide curriculum materialsConversational English tutoringWritten English feedbackCan offer tutoring on various subjects
Please elaborate on the subjects for which you can offer tutoring.*
Advising/consultation — select all that apply:*

LegalFinancialEducationCareer
Please elaborate on the forms of advising/consultation you can provide:*
이외의 직업적/전문적인 재능 혹은 기술로 도움을 주고 싶으시다면 아래에 적어주세요. Please list any additional professional or technical skills you would like to volunteer.*
이전에 어느 수준으로 학생들과 일해 보셨습니까? 탈북인 학생과 일해 본 경험이 있으신가요? In what capacity have you previously worked with students? Have you had prior experience working specifically with North Korean refugee students?*
이력서/CV 사본을 업로드하십시오. Please upload a copy of your Resume/CV.

Browse Files
Although this is optional we may request this information later before confirming a student match. Cancelof
이외 항목 Additional Information
How did you hear about PSALT and/or PSALT's RISE program?*
어떻게 저희와 함께 자원봉사에 관심을 갖게 되셨나요? How did you become interested in volunteering with us?

Acknowledgement
I hereby acknowledge that I have received and read all the orientation guidelines and rules outlined for participation in the Resource Initiative to Support Education (RISE) Program. I understand that adherence to these guidelines and rules is crucial for the success and effectiveness of the program, and the safety of all involved.

As a participant in RISE and representative of PSALT NK, I agree to abide by the following rules and policies:

Code of Conduct:

I will conduct myself in a professional and respectful manner at all times when interacting with students, fellow tutors/mentors, and program administrators.
Confidentiality:

I will maintain the confidentiality of all information shared by students and other participants in the program – both during and after volunteer services are concluded. This includes not taking or circulating pictures/clips/screenshots of the student(s). I understand that breaches of confidentiality are potentially detrimental to the student and/or family members, and will likely result in termination from the program, including cancellation of communication tools (Zoom access, assigned email address) provided by PSALT.

Scheduled Sessions:

I commit to attending all scheduled tutoring or mentoring sessions promptly. If I am unable to attend a session, I will notify the program coordinator and student/student’s guardian in advance.
Communication:

I will communicate effectively and responsibly with students, parents/guardians, and program administrators. I understand the importance of clear and open communication in fostering a positive learning environment.

Program Materials:

I will use program-provided materials responsibly and only for the intended purpose of supporting the academic and personal development of the students.

Compliance with Program Guidelines:

I will comply with all guidelines and rules set forth by the RISE Tutoring and Mentorship Program. If I have any questions or concerns, I will seek clarification from program administrators.
I acknowledge that any violation of the aforementioned rules and policies may result in immediate action, including but not limited to termination from the RISE Tutoring and Mentorship Program, notification of termination to student(s) (and student’s parent/guardian if applicable), and cancellation of aforementioned communication tools provided by PSALT.

By signing below, I affirm that I have read and understood the orientation guidelines and rules and agree to abide by them during my participation in the RISE Tutoring and Mentorship Program.
I understand that I will be requested to submit the following after an interview and discussion about a potential tutee:

Brief outline of first session (Introductory & Dignositic), approximately 30-45 minutes.Brief outline of second session (First Lesson), approximately 45-60 minutes.Weekly lesson plan outline: 3-month plan, 6-month plan, and/or goals-based consultation session outline.
Name

First NameLast Name
Signature*

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Date*

MonthDayYear
Date
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솔트 자원 봉사자 신청서 PSALT RISE Volunteer Registration Form

개인정보 Personal Information

봉사 가능한 시간과 기간 Availability

Skills and Experience

이외 항목 Additional Information

Acknowledgement