Volunteer Agreement

I understand that:

  • The references I listed may be contacted by telephone or email.
  • This application in no way obligates me to perform any volunteer service.
  • The Welcome to America Project believes in freedom of expression and religion and makes no attempt to change the beliefs of the refugees we help.  I understand that my help is free and without expectation.
  • All records and information gathered are the property of WTAP.
  • I will maintain strict confidentiality regarding the refugee family's personal information and address.
  • If I decide to volunteer on an ongoing basis with any refugee family that I have helped through The Welcome to America Project, I will contact and work with the refugee resettlement agency assigned to that family before I continue to work with them.  I understand that The Welcome to America Project is a group of volunteers that help set up households for refugee families and does not provide any ongoing case management for the families.
  • I hereby authorize WTAP to conduct whatever investigation it may deem necessary to determine whether I can become an effective volunteer. I do herein affirm under oath and subject to penalties of perjury that the foregoing answers and statements are, to the best of my knowledge, true, correct, and complete.
  • I understand that WTAP uses photos of volunteers and refugees in a variety of activities for recruiting and promotional reasons. I am willing to support their efforts. WTAP has my permission to use my name and photographs of me to promote the Agency's program.
  • I understand that I must carry my own health insurance. I will not hold WTAP responsible for any unforeseen injuries or problems that may occur on the job.
By clicking the "Submit Application" button you agree to all terms and conditions listed in the above agreement.

Parent/Adult Name:

 * required

Spouse:

 * required

1st Child's Name:

Birthdate:

School:

Grade:

2nd Child's Name:

Birthdate:

School:

Grade:

3rd Child's Name:

Birthdate:

School:

Grade:

4th Child's Name:

Birthdate:

School:

Grade:

       

Address:

 * required

City:

 * required

State:

Zip:

 * required

Phone #:

 * required
   

Email:

 * required

Over 18?:

 * required

Employer:

City, State:

 * required
 * required

Employer Address:

Zip:

 * required
 * required

Education:

 * required

Are you bilingual?

Yes
No

If yes, enter languages you are fluent in:

       

How did you hear about us?

Briefly explain why you are interested:

Area(s) of Interest (hold the CTRL key to select multiple options):

Availability:

Weekly
Twice a month
Once a month
Deliveries

Reference One:

Title:

Organization:

Phone #:

 * required
 * required
 * required
 * required

Reference Two:

Relationship:

Time known:

Phone #:

 * required
 * required
 
 
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