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Volunteer Intake Form
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Please list the days of the week and times you are available to volunteer:
*
Example: Monday Start _______________ End _____________
Education
*
High School
Undergraduate degree
Graduate degree
Other ( )
Skills
*
Soft Skill
Technical Skill
Language Skill
Which languages do you speak/write (check all that apply):
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English
Dari
Pashto
Arabic
other
Employment History
*
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Can you provide your LinkedIn profile
Areas of Interest I: Evacuation (assisting SIVs in need of evacuation/case support)
*
Managing Cases in the Virtual Operating Center
Administrative Support
Not interested
Areas of Interest II: Resettlement (connecting SIVs to resettlement assistance)
*
Assistance with Household Donations
Employment
Mentoring
Specific Projects
Administrative Support
Not interested
Are you interested in mentoring an SIV (minimum two meetings over six months)?
*
Yes
No
Which industry are you most experienced
(IT, Business, Healthcare, Finance, etc...)
Areas of Interest III: Advocacy (to advocate with the US govt. on SIV polices)
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Research
Writing Public Opinion Pieces
Meeting with Policy Makers
Not interested
Areas of Interest IV: Development & Communication
*
Fundraising
Web Design
Administrative Support
Outreach
Events
Not Interested
Are you comfortable being added to a volunteer chat group?
*
Yes
No
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