Family Settlement Volunteer Application Form

Volunteer Application Form

Syrian Family Settlement
This form is for volunteeting to provide assistance to the family that Humanserve is sponsoring for settlement in Edmonton, Alberta.

(Required fields throughout the form are marked with an asterisk*)
Personal Information:
Your Full Name *

First Name Last Name
Phone Number *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please indicate your preferred method of contact:

Phone daytime only Phone evening only Phone anytime Email
If you are in contact with a Humanserve board member, please provide their name below:
Volunteering Details:
Please select all areas of interest and/or experience in which you can assist the family:

Driving to appointments & activities (medical, dental, ESL classes, etc.) Banking and orientation for financial services, shopping, etc. Enrolling children in school English as a Second Language (ESL) for parents Public transportation Finding a family physician and dentist Establishing vaccine status and coordinating boosters Information about societal and legal rights and responsibilities Childcare arrangements Finding employment or access to services that provide employment assistance Other
If you selected "other" above, please explain:
Select all options for when you are generally available:

Weekdays - daytime Weekdays - evenings Weekend - daytime Weekend - evenings
Do you speak Arabic? (Note: this is not a requirement for volunteering)

No Yes - a little Yes - fluent
List the name(s) of any local agency/organization you have volunteered with previously that provides assistance to newcomers:
(e.g. Action for Healthy Communities, Edmonton Mennonite Centre for Newcomers, Catholic Social Services, etc.)
Comments or questions:
Please subscribe me to Humanserve's eNewsletter: *

Yes No I am already a subscriber
Please verify that you are human *
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Volunteer Application Form

Personal Information:

Volunteering Details: