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Volunteer Application Volunteer Application

NOTE: Fields in red are required.
Do you want to volunteer at the Center or in the community?
At the Center
In the community
Prefix:
First Name
Last Name
Email
Address
Apt:
City
State
Zip
Home Page
Daytime Phone /
Office Phone:
Ext:
Gender:
Date Of Birth:
19
Age Group:
Highest Level
Of Education:
School:
Major:
Second Major:
Languages
(list up to 3):
Employment
Status:
Please provide information about your current or most recent employer
Employer:
Title:
Company Type:
Company Address:


Office Phone:
Ext:
Work Email:
Have you ever lived abroad?
Where?
How Long?
Describe any teaching or tutoring experience you may have.
Describe your most recent volunteer experience. Please provide the name and phone number of your supervisor.
What are some of the challenges of learning a new language? (Please answer with a minimum of four complete sentences.)
Other than the language barrier, what are some of the challenges of interacting with people from other cultures? (Please answer with a minimum of four complete sentences.)
Why are you interested in volunteering at The International Center? (Please answer with a minimum of four complete sentences.)
Do you sit on the Board of Directors of a non-profit organization? If yes, please list them below:
Please provide two references from an academic, professional or volunteer experience. Although we do accept professional colleagues, we prefer that academic and volunteer references come from a superior. One of the references can be the volunteer reference listed above.
First Name:
Last Name:
Relationship:
Daytime Phone Number:
First Name:
Last Name:
Relationship:
Daytime Phone Number:
How Did You
Hear About Us?
If a volunteer/member referred you, please provide her/his name:
Emergency Contact Information
Emergency
Contact:
Relationship:
Emergency Contact's Home Phone:
Emergency Contact's Work Phone:
Declaration of Convictions:
List below any convictions for violations of the law (other than traffic violations) in this state or elsewhere. If you have no convictions, please check the none box.

None

Date of Conviction:
Offense:
Court and Location:
Disposition and Penalty:
If you want to recommend a friend who may be interested in volunteering at the Center, please enter their contact information below.
Name:
Email/Mailing Address:


By submitting this form you authorize the International Center to make inquiry as to your experience and character. You certify that all statements made on this application are true. You understand that you are expected to fulfill your commitments to training and the tasks assigned to you. You agree to contact the International Center staff if you are unable to participate in an activity for which you have been registered. And you understand and accept the terms and conditions of THE VOLUNTEER AGREEMENT and agree to fulfill and abide by the expectations it outlines.
THE VOLUNTEER AGREEMENT
(click here to read the agreement),

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50 West 23rd Street 7th Floor, New York, New York 10010-5205

Tel 212.255.9555 |
 Fax 212.255.0177 | Email icny@intlcenter.org