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 *
Preferred Name
This is the name you would like us to call you if you do not use the name on your legal identification.
Last Name *
Date of birth *
MM
/
DD
/
YYYY
Your pronouns *
Ex: They/them, she/her, he/him.
Occupation
School/College (if currently attending)
Address
Phone number
Can we text the number listed above if needed?
Clear selection
E-mail address *
Emergency contact name and relation *
Emergency contact phone number *
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." *
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? *
What interests you most about volunteering with HR3? *
What other volunteer groups or organizations are you involved with? If none, simply write "None." *
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.
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).
Do you have any teaching or coaching experience? Please list age group and subject/specialty.
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?
Clear selection
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?
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.
Is there anything else you would like us to know?
I attest the above information is true and complete to the best of my knowledge. *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.