Safe In Harmonia Volunteer Application Form
First Name *
Your answer
Last Name *
Your answer
Preferred Nickname
Your answer
Street Address *
Your answer
City *
Your answer
State
Your answer
Country *
Your answer
Social Media Profiles- Facebook, Instagram
Your answer
Postal Code
Your answer
Mobile Number *
Your answer
Will you have your mobile phone on during the festival? *
E-Mail Address *
Your answer
Gender *
Your answer
Age *
Your answer
Ethnicity
Your answer
Occupation *
How do you spend most of your time?
Your answer
Languages Spoken
Please indicate level of fluency for each language listed: basic / competent / fluent.
Your answer
General Professional Experience
Do you have any relevant work experience (for example, medical, therapeutic, counseling, harm reduction)?
Your answer
Prerequisites pt. 1 *
Please check the following criteria that are true statements regarding your prior experience.
Required
Prerequisites pt. 2
Tell us why you want to be involved in Harmonia.
Your answer
Certifications (not required)
Please check the following up-to-date certifications you possess.
In what capacity would you like to be involved with Harmonia? *
Required
Explain why you'd like to work with Harmonia. *
Your answer
Explain what being a "care giver" means to you. What do you understand to be the basic guiding principles in such work? *
Your answer
Describe a few times in which you have helped someone through a difficult emotional experience (psychological, interpersonal, etc.) and how you handled the situation. *
Your answer
Is there anything else you would like us to know?
Your answer
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