Volunteer

CUASVAHH, INC. emphasized in providing trainings to its special volunteers as we believe that:“One must be trained well to be able to educate well.”Our volunteers are young men and women of diverse backgrounds united by their passion for change, non violence and freedom for all.

Volunteer Application Form

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Name*

Date of Birth*

Address

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone*

Cell*

Email*

Highest Level of Education*

Veteran?*

Yes

What Are Your Skills and Interests?*

Which Language(S) Do You Speak?*

Current Volunteer Work*

Kind of Volunteer Assignment Desired*

Would Like to Be Notified About One-time, Short-term Volunteer Opportunities?*

Yes

How Did You Hear About Us?*

Transportation & Liability Coverage*

Members are NOT covered under our insurance policy while volunteering through our program. Please complete the following.

Will You Be Requesting Reimbursement for Mileage or Bus/van Tickets?

Our Program Has Very Limited Funds Available for Transportation Reimbursement.

Name of Emergency Contact

Emergency Contact Address

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Phone*

Relationship to You*

Upload ID*

Max. file size: 1 GB.

I understand that if I use my personal automobile during my volunteer service, I will keep in effect the minimum liability insurance required by Florida Law. I also understand that I volunteer my service through the CUASVAHH Immigration Service Program, and attest that I am NOT an employee of CUASVAHH Immigration Service Program.

Volunteer Signature

Enter your name here

Volunteer Date*

Comment

Volunteer

Volunteer Application Form

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