Volunteer Application Please fill in a valid value for all required fields Please ensure all values are in a proper format. Are you sure you want to leave this form and resume later? Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form. Save and Resume Later Save and get link You must upload one of the following file types for the selected field: There was an error displaying the form. Please copy and paste the embed code again. Apply Discount You saved with code Submit Form Submitting Validating There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue. Please check the field: Fields Refugee Services Volunteer Application Thank you for your interest in becoming a Minnesota Council of Churches Refugee Services Volunteer or for responding through the International Institute of Minnesota's volunteer website regarding our shared Community Orientation Workshops initiative.Please complete the entire application as it cannot be saved and returned to later. Once completed, click Submit at the bottom and we will be in contact shortly. If you experience any difficulty submitting this form please contact us at rsvolunteers@mnchurches.org or 612-230-3219 in the Twin Cities, or at rsmankato@mnchurches.org or 507.514.0812 for the Mankato Area. General Information Name* First Name* Last Name* Email* Address* Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands (US) Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (the) Americas Armed Forces Europe Armed Forces Pacific Army Post Office (U.S. Army and U.S. Air Force) Fleet Post Office (U.S. Navy and U.S. Marine Corps) State ZIP Code Primary Phone* Secondary Phone Occupation* How did you hear about MCC Refugee Services?* Volunteer Opportunities Volunteer Location* Twin Cities Metro Area Mankato Area I'm interested in...* Community Orientation Workshops Classroom Assistant (partnership program between MCC and International Institute of Minnesota.) Resettlement Assistant Bridging Shopper Bus Buddy (for Community Orientation Workshops or assisting other MCC refugee clients) Befriender Intern Other: Other Value I'm interested in...* Job Skills Mentor: 8-week, once per week activities for 1-2 hours with a refugee friend focused on job-related language, applying for jobs, and practicing interview skills Befriender: 16 weeks, once per week activities for 1-2 hours with refugee friend focused on practicing English, learning about community, riding bus, driving to appointments. Tapestry Project: 6 week, once per week for 3 hours, connect with your refugee neighbors to create community. The next Tapestry project will take place Fall 2017. Other: Other Value Experience What cross-cultural experiences have you had?* This is not a requirement for volunteering. Please briefly describe your past volunteer experience and any work experience related to working with refugees.* Why are you interested in volunteering with MCC?* What are your expectations for volunteering with MCC Refugee Services?* What language(s) do you speak? Availability Days Available* Sunday Monday Tuesday Wednesday Thursday Friday Saturday List any comments about your availability in the box below. Time of Day* Morning Afternoon Evening List any comments about your availability in the box below. Comments on Availability How many hours a week can you commit?* 2-4 hours 4 or more hours How long can you commit to volunteering?* 3 months 6 months 1 year When can you begin volunteering?* If you drive, would you be willing to use your vehicle to drive refugees to appointments, activities etc.?* This is not a requirement for volunteers. Emergency Contact Emergency Contact Name* First Name* Last Name* Phone* Relationship* References References should be non-relatives who can confirm your suitability for this position (i.e. supervisors, professors, pastors, coworkers, friends). One reference must be a previous volunteer supervisor or work supervisor. Our policies require that reference records be kept on file before you can be placed in certain volunteer positions. Please note that these records will be kept confidential. Volunteer Supervisor or Work Supervisor Name* First Name* Last Name* Phone* Email* Relationship* Personal Reference Name* First Name* Last Name* Phone* Email* Relationship* Authentication and Release of Information Please read the following and indicate that you have read and understood each statement by signing and dating below: I hereby certify that the facts set forth in this application are true and complete to the best of my knowledge. I understand that completing this application does not ensure a volunteer placement. I also understand that this is not an application for paid employment. I have applied to MCC Refugee Services for a volunteer position that may require that I provide references that can be contacts, so that MCC Refugee Services will be fully advised of my qualifications for this position. I, therefore, request that my references furnish the necessary information, and I hereby release them from any and all liability of damages for providing the information requested. I understand that this information will be kept confidential. I further authorize my signature to be duplicated for purposes of this informative request, and acknowledge that duplicate copies of this request are valid. 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