CRYP Individual Volunteer Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Are you located in the United States?
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Yes
No
Location: U.S. City and State
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Location: Non-U.S. City, State / Province and Country
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
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Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Canada
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Chile
China
Christmas Island
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Djibouti
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Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
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Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
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Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
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North Korea
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Laos
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Liberia
Libya
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Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
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United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Are you authorized to work in the United States?
*
Yes
No
When do you plan to join us for volunteering?
*
-
Month
-
Day
Year
Date
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Why do you want to volunteer with the Cheyenne River Youth Project?
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Please list any schooling, training, employment, or previous volunteer experiences relevant to your participation in the project.
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Why do you feel you would be a good role model for the youth of our community?
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Please tell us what commitment means to you.
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Please describe your strengths.
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Please describe your weaknesses.
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How do you deal with stress?
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How do you deal with conflict?
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Please list any special interests or hobbies you have.
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How do imagine a typical working day in a small non-profit?
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Please explain any past experience living with others in a communal setting.
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Do you have experience or knowledge in Native American history, culture, or working with Native communities?
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Have you ever experienced living or working in a culture different from your own?
*
Are you confident working independently?
*
Yes
No
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The Cheyenne River Youth Project requires volunteers to be role models for youth and the community, enforcing a strict no-tolerance policy on alcohol, illegal drugs, and unlawful activities. Volunteers must uphold high standards of conduct both on and off duty?
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Yes
No (If no, please explain in the next section.)
If you answered No to the previous question, please explain why you cannot comply with our no drugs or alcohol policy.
The Cheyenne River Youth Project is a smoke free zone, and tribal Government has declared all tribal properties as smoke free zones as well. Will you be able to comply with our no-smoking policy?
*
Yes
No (If no, please explain in the next section)
Please explain why you cannot comply with our no-smoking policy.
Have you ever been convicted of a crime? All volunteers are required to submit a background check. Please contact your local police department for instructions.
*
Yes (If yes, please explain in the next section)
No
Please explain your criminal conviction record.
In general, CRYP volunteers work 8 hours per day and 5 days per week. There may be occasional circumstances when days will be long and we will require work on weekends, but we try to schedule ample time with our volunteers to rest and recharge. Are you able and willing to work long hours?
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Yes
No
Do you have any illnesses, allergies, or disabilities of which we need to be aware? If yes, please explain. (Note: The Cheyenne River Youth Project does not discriminate based on race, background, creed, disability or sexual orientation).
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Do you have any limitations that would prevent you from performing physical work (such as actively engaging the youth, cutting lawns, heavy lifting, cleaning, gardening, shoveling snow, etc.)?
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To my knowledge, I do not have health problems or conditions which would fully prevent me from participating in volunteer service for the Cheyenne River Youth Project. I understand that I am responsible for all medical costs incurred during my stay.
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I accept / agree
I do not accept / agree
I understand I am responsible for transportation to and from South Dakota at an arrival point specified by the Project and that I will be responsible for purchasing my own meals, other than those food items which I may take from the local Food Bank or Food Donations.
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I accept / agree
I do not accept / agree
I understand that I will have to pay a housing fee to the Cheyenne River Youth Project based on my length of stay.
*
I accept / agree
I do not accept / agree
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Please list the names and email addresses of the three individuals who will be writing letters of recommendation on your behalf. Letters of recommendations should be emailed directly to volunteering.cryp@gmail.com.
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This is a long-term volunteering opportunity where volunteers live on-site at our campus in Eagle Butte, SD. Please confirm that you are willing to stay with us at the Cheyenne River Youth Project during your time with us.
*
Yes
No
By signing your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
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