DEERI Volunteer Sign Up Form

Digital Education Emergency Relief Initiative

Volunteer Application Form
The Digital Education Emergency Relief Initiative has been established to provide education and social-emotional relief to children displaced as a result of war, political unrest and natural disasters. DEERI provides these supports to those affected by leveraging technology, tools and most importantly our volunteers. We are seeking to expand our current list of volunteers to aid in finding additional computer equipment, provide virtual education tutoring, support a child in need through virtual trauma systems therapy or you do not know and just want to help. If you speak either Ukrainian or Russian and have a background either as an educator or psychology and social work, we strongly encourage you to apply.
Name

PrefixFirst NameLast Name
Birth Date

MonthDayYear
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In which areas would you like to volunteer?
Do you have any volunteering experience? If yes, please describe.
Select your available days
From

:HourMinutesAM/PM Option
To

:HourMinutesAM/PM Option
Date

MonthDayYear
Date
Signature
Should be Empty:

Digital Education Emergency Relief Initiative