City of Refuge: Volunteer Application
Thank you for your willingness to assist City of Refuge! Due to the many changes that occur in refugee lives, we ask that some volunteer commitments remain consistent over a certain period of time. We look forward to learning more about you! *Please note it may take a few weeks for response time after submission.*
7 E Sexton Rd, Columbia, MO 65203
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Last Name, First Name
Address (street, city, state, zip)
Contact Phone number
Which position(s) are you interested in?
Morning Childcare Help (2.5 hours per week, 1 academic year)
Front Desk Greeter (2-4 hours per week, 1 academic year)
Buddy English Tutor for Adults (2 hours per week, 1 full year)
Homework Helper for Kids (2 hours per week, 1 academic year)
Family Friend (2 hours per week, 1 full year, intended for group volunteers)
Providing Transportation to/from English class (1 day a week, 1 academic year)
Community Event Volunteer (one time event)
Sorting Donations (one time event)
Driving Instructor (ongoing)
Piano teacher (1 hour per week, 1 academic year)
During which hours are you available for volunteer assignments?
Special Skills and or Hobbies:
Are you a part of any organizations or group that would want to be involved with City of Refuge? If so, please let us know here:
Why do you want to volunteer with City of Refuge?
Volunteer Waiver * I attest that my signature below grants that I have read, understood, and agree to all parts of this document in full. I understand that my signature below releases the non-profit organization of City of Refuge from any liability for any injuries, health related issues, or other work related problems. I am volunteering of my own volition and will not hold City of Refuge accountable for any damages I might incur while participating. I realize I will be my own judge and act in accordance on my own behalf and not engage in activities I do not feel able to perform based on my medical conditions/history, or any other reason that I feel compelled to not participate in said activity. PLEASE TYPE YOUR FULL NAME BELOW:
Media Consent: I acknowledge that my signature below means that I have read, understand, and agree to allow City of Refuge to videotape, photograph, or record my image, voice, or both either before, during, or after any City of Refuge sponsored event, workshop, or affiliated activity to be used for, but not limited to, the purposes of public relations, fundraising, advertising, education, and community outreach. I further understand that I waive all claim(s) to recompense for damages from City of Refuge or affiliates for the use of my image, voice, or both being reproduced for the purposes stated above by City of Refuge or affiliates. PLEASE TYPE YOUR FULL NAME BELOW:
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