Request edit access
SWANAconnect Application
The SWANAconnect Project was created by Pouneh Behin and Christina Nesheiwat. It is currently being collaborated on by two entities: Southwest Asian & North Afrikan - Los Angeles (SWANA-LA) and the Palestinian Youth Movement (PYM).

Please be informed that the responses to your questions will only be accessible to leadership of these two groups (as of 10/28/16) and will remain confidential. Questions marked as optional do not have to be filled out.

Please email your CV separately to SWANAconnect@gmail.com

Who referred you? *
Required
Name *
Your answer
Date of Birth *
Your answer
Permanent Address *
Your answer
Cell Phone Number *
Your answer
E-mail Address *
Your answer
Emergency Contact (name, phone number, e-mail address, and relationship) *
Your answer
Citizenship and passport number *
Your answer
Facebook (if any) *
Your answer
Gender Identity (Optional)
Your answer
How do you identify sexuality-wise? Ex: straight, gay, bi, pansexual, lesbian, etc. (Optional)
Your answer
Do you belong to an ethnic group with a population in the Southwest Asian/North Afrikan (SWANA) region? SWANA = From Morocco to Afghanistan including the Caucusus *
Captionless Image
If you are NOT SWANA, please describe your allyship to our community:
Your answer
What language(s) do you speak and at what level? *
Your answer
What organizations are you a part of (student, community, and professional)? Please list any respective titles.
Your answer
Please give us an idea of your educational background (formal and informal). If you have attained specific degrees, please list them along with your major/specialty *
Your answer
What physical and/or mental conditions do you have that may affect your work or well-being? *
Your answer
What [work/volunteer/life] experience do you have with refugee and/or migrant populations? *
Your answer
What work or organizing experience do you have? *
Your answer
Click on any of the following that apply to you *
Required
Click on all months you would be available to volunteer for at least two weeks in 2019. *
Required
Explain why you would like to volunteer in Greece with refugees/migrants predominantly from the SWANA region. *
Your answer
What other skills/resources do you possess or have access to that you have not previously mentioned?
Your answer
What would your ideal day look like as a volunteer in Greece? *
Your answer
What else would you like us to know about you?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service