Services Request  Application
The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.
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How did you hear about us?
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Name *
Address (Street, City, State, Zip Code) *
Phone Number *
E-mail *
Country of Origin
What Support  are you requesting for?
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Note for  Services Requested
How many children are requesting assistant for?
What are their ages, grade and   sex?
Does your child need assistance with academic support *
Academic level
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Elementary Student. Age and grade of  the children
0-1
1-5
5
6
7
8
9
10
11
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Middle School Age and grade of  the children
12
13
14
15
6th
7th grade
8th grade
High School Age and grade of  the children
9th
10th
11th
12th
15 years old
16 years old
17 years old
18 years old
19 years old
20 years old
21 years old
22 years old
Post High School Request
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Is there ay physical limitations? *
Physical limitations Explain *
Would you like to volunteer with our organization *
Additional Information *
Signature *
By signing this application you've agreed to bring awareness of international communities and their cultures into the American school system and its communities. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

As a volunteer of our organization I agree to abide by the policies and procedures. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.
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