CMAA's Volunteer Interest Form
CMAA encourages the participation of volunteers who support the CMAA mission. If you agree with the mission and are willing to be interviewed and trained in our procedures, we encourage you to complete application form below. A background (CORI) check is required of all volunteers, and (SORI) checks if the participation of volunteers is involved around youth. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

Mission Statement: The Cambodian Mutual Assistance Association (CMAA) is dedicated to improving the quality of life for Cambodian Americans and other minorities and economically disadvantaged persons in Lowell through educational, cultural, economic, and social programs.

Thank you for your interest in CMAA. 

Want more information about our work? Visit: cmaalowell.org
Disclaimer: All information in this form is for CMAA's internal use only.
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Email *
First Name *
Last Name *
Address *
City
State: *
Zip Code: *
Phone Number (XXX-XXX-XXXX) *
Gender
Ethnicity
Date of Birth *
MM
/
DD
/
YYYY
Social Security Number 
(ONLY USE FOR CORI/SORI SEARCH)
 *
Skills:  List down any skills or knowledge that you feel would benefit the organization (e.g. certification in CPR or First Aid, dates and expiration dates)
Please indicate the days you are available (Minimum of 2-5 hours a week)
Emergency Contact Name
Emergency Contact Phone
Relationship to you:
How did you hear about us? *
Do you have any physical limitations or health issues we should be aware of?
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If YES, please explain below
What activities/program would you like to help with. Check all that applies.
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Clear selection
As a volunteer of CMAA, I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees, and its affiliates, cannot assume any responsibility or liability for any accident, injury, or health problem that may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis, and I am not eligible to receive any monetary payment. I certify that the information on this application is true and accurate. I authorize and permit my child to be in still or video photos and audio recordings to be incorporated into materials that promote CMAA’s program. I accept full responsibility for any costs of medical attention received. I permit emergency medical treatment to be administered to my child by qualified medical personnel in the event of an accident or injury.  
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