New American Pathways Volunteer Application

Thank you for expressing an interest in helping us to carry out the mission of New American Pathways! After your application is received and accepted, you will be contacted to schedule an orientation session and set-up a schedule. Thank you!

Please answer all fields below. If any field is not relevant to you, write "NA".

New American Pathways
2300 Henderson Mill Rd., NE
Suite 200
Atlanta,GA 30345
Phone: 404.299.6099

Email address *
Personal Information
First Name : *
Your answer
Last Name: *
Your answer
Gender: *
Birthdate (mm/dd/yyyy): *
Your answer
Place of Birth: *
Your answer
Native Language : *
Your answer
Place of Employment /School: *
Your answer
Position: *
Your answer
Address:
Mailing Street: *
Your answer
Mailing City: *
Your answer
Mailing State/Province : *
Your answer
Mailing Zip/Postal Code : *
Your answer
Contact Info:
Phone Number: *
Your answer
About You
What language(s) do you speak/read/write?
Your answer
Have you ever worked with refugees/immigrants before? *
If "yes", please explain. *
Your answer
Explain any relevant experience/skills/training you may have. *
Your answer
Are you involved with any other organizations (church groups, clubs, athletics)? *
Your answer
Why are you interested in volunteering with New American Pathways? *
Your answer
How did you hear about New American Pathways? *
Your answer
References
Please list a reference who can attest to your character, skill, and dependability. Answers will remain confidential.
Name: *
Your answer
Phone: *
Your answer
Relationship to you: *
Your answer
E-mail: *
Your answer
Medical Information
Do you have any medical conditions that we should know about in the event of an emergency (allergic to bee stings or antibiotics, heart condition, diabetes, etc.?) *
Your answer
In case of an emergency, who should we contact?
Name: *
Your answer
Phone: *
Your answer
AmeriCorps and Internship Positions
Please check if interested: *
Required
Availability
When would you like to volunteer?Please specify "start" and "end" times under the appropriate day.
Monday *
Your answer
Tuesday *
Your answer
Wednesday *
Your answer
Thursday *
Your answer
Friday *
Your answer
Saturday/Sunday *
Your answer
Consent Form
Do you give permission for New American Pathways to contact your references? *
Required
I agree to not hold liable New American Pathways, its employees or board members for any accidents that may occur. *
Required
Volunteer signature *
Your answer
Date *
MM
/
DD
/
YYYY
I will treat equally clients of all races, religions, cultures, and economic levels with respect and consideration. *
Required
I will refrain from verbally soliciting or distributing information promoting religious and/or political beliefs or events. *
Required
I will abide by the staff and volunteer behavior guidelines. *
Required
I hereby authorize New American Pathways to receive any criminal history record information pertaining to me which may be in the files of any state or local criminal justice agency in Georgia. *
Required
A copy of your responses will be emailed to the address you provided.
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