Hampton Roads Refugee Relief (HR3) Volunteer Application Form
Thank you for your interest in volunteering with Hampton Roads Refugee Relief! HR3 is dedicated to supporting and empowering refugees resettling in Hampton Roads to become independent contributing members of the community. Our goal is to build a community where refugees are encouraged and supported to develop their full potential.
For more information, please refer to our website at www.hr3va.org!
Email address *
Basic Information
First Name *
Your answer
Preferred Name
This is the name you would like us to call you if you do not use the name on your legal identification.
Your answer
Last Name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Preferred Pronouns *
Ex: They/them, she/her, he/him.
Your answer
Occupation
Your answer
School/College (if currently attending)
Your answer
Address
Your answer
Phone number
Your answer
Can we text the number listed above if needed?
E-mail address *
Your answer
Emergency contact name and relation *
Your answer
Emergency contact phone number *
Your answer
Please list any medical conditions or limitations (including food allergies) that may impact your volunteer experience. This information is used to ensure that we can create an accessible and comfortable volunteer environment. If none apply, please write "N/A." *
Your answer
Volunteer Information
This section focuses on your skills and goals for what you wish to bring to the organization.
How did you hear about HR3? *
Your answer
What interests you most about volunteering with HR3? *
Your answer
What other volunteer groups or organizations are you involved with? If none, simply write "None." *
Your answer
Do you have any specialized knowledge, training, or skills that you would like to share with clients? (e.g. music, art, sports, carpentry, gardening, sewing, engineering, etc.) Please list all that you would enjoy sharing.
Your answer
Do you speak any languages in addition to English? Please list them, in addition to your level of fluency/comfort in them from 1 to 3 (1 = very, 2 = somewhat, 3 = little).
Your answer
Do you have any teaching or coaching experience? Please list age group and subject/specialty.
Your answer
Which activities would you like to participate in as a volunteer? Please check all that apply. *
Required
Which age groups are you most interested and comfortable working with? Please check all that apply.
Female
Male
No preference
3-6 year olds
6-9 year olds
9-12 year olds
12-15 year olds
15-18 year olds
Adults 19-45
Adults 46-65
Seniors
I prefer not to work with people
What is your availability throughout the year?
What days and times are you available? Please check all that apply. *
8:00am-11:00am
11:00am-1:00pm
1:00pm-3:00pm
3:00pm-5:00pm
5:00pm-8:00pm
Not available on this day
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Is there any additional information you would like us to know about your availability?
Your answer
Do you use any of the following forms of communication? Please check all that apply. *
Required
Do you have a reliable means of transportation? *
Have you had any criminal convictions? *
If you answered yes to the previous question, please elaborate here.
Your answer
Is there anything else you would like us to know?
Your answer
I attest the above information is true and complete to the best of my knowledge. *
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