VOLUNTEER APPLICATION

In order to volunteer with PAIR, you must complete this volunteer application, which includes your personal information, a liability release, a media release, and a volunteer agreement. Completely fill out all required fields marked with an asterisk (*).  All of the personal identifying information you provide is confidential and will not be shared. Please email PAIR’s Volunteer Program Developer, Suzan Samuels at suzan@pairhouston.org if you have any questions before or after filling out this application.

 
Personal Contact Information










Demographic Reporting Information
Personal identifying information you provide is confidential and will not be shared. Any responses collected will be used in the aggregate only for reporting purposes to PAIR’s community stakeholders.




Initial Interest and Availability: 2017 Summer Program
By selecting to participate in PAIR’s Summer Program, you understand you are committing to attend each program day. The program will meet July 10-28 from Monday through Friday. Volunteers are expected to be on site by 9:30 AM and may be expected to stay until 2:30 PM. Absences are permitted only in the event of an emergency. In the event you must miss a session, you will contact PAIR program staff. You understand that making this commitment means that your fellow volunteers and one or more students are depending on your attendance and support at each session.


Initial Interest and Availability: Other Special Opportunities
You may select multiple opportunities. Please feel free to provide comments related to your selection in the “Other” box, especially if you do not see an opportunity that fits your interests. We cannot guarantee that we will be able to customize additional opportunities for you but we would love to follow up with you to discuss additional interests and determine if we can find the right fit for you to get involved with PAIR!



Emergency Contact Information











Education Information
Please enter education information for at least one institution, whether you have obtained or are still seeking a diploma, degree, or certificate. If currently seeking a college degree or high school diploma, input that education information first.























Language Skills
Please enter language information for languages other than English. For proficiency, please select basic, confident, or fluent for all four abilities: reading, writing, speaking, and listening. You can select multiple options on the list by holding down the command key on a Mac or the control key on a Windows computer.














How did you hear about PAIR?



Volunteer & Professional Experience

Please include personal values or skills you wish to develop in explaining why you want to volunteer with PAIR:


Please include organization(s) name, dates served, and a brief description of responsibilities when listing your previous volunteer experience.

Please list any experiences or skills that you perceive could benefit either refugee students or PAIR as an organization when providing your professional expertise.


Carpool Availability
This primarily applies to university volunteers but non-university volunteers are welcome to participate as carpool drivers or Uber coordinators as well. All carpool drivers using personal vehicles are reimbursed for carpool mileage at the IRS allowed rate, currently 14 cents per mile, at the end of each semester. Approved Uber coordinators will be reimbursed for the cost of each trip regularly. Reimbursements are made to approved drivers and Uber coordinators, not individual drivers, for carpools to and from program sessions only; reimbursements are not made for free Uber credits that volunteers would otherwise receive for opening an Uber account when volunteers are not actually charged for a trip. Please note drivers’ own automobile insurance must cover their driving activities.
Do you own or have regular access to a vehicle and are you willing to drive a group of volunteers to and from program sessions on a weekly basis?

Do you have or can you sign up for an Uber account and are you willing to arrange for an Uber carpool for a group of volunteers to and from program sessions on a weekly basis?


Additional Information
Please feel free to provide any additional information that you would like to share or that you were unable to provide in previous sections.


Compliance
I certify that I will follow the background check process for my volunteer assignment as directed by PAIR.

I understand that my own automobile and medical insurance policies, if applicable, must cover my participation in PAIR and that PAIR shall not provide any insurance for me in connection with my volunteer assignment. See Liability Release included below for further details.


Please agree to PAIR’s (1) liability release, (2) media release, and (3) volunteer agreement as part of your application by checking the three boxes below. The agreements can be found HERE and you will receive a PDF copy for your records by e-mail upon submission of this application. You may also be asked to submit signed copies prior to volunteering in programs.



I certify that all of the statements made by me in this application are true and complete to the best of my knowledge and belief, are made in good faith, and that I have withheld nothing that might, if disclosed, affect this application unfavorably. Furthermore, I will update PAIR if any personal circumstances change that might affect my continued volunteer eligibility.


This concludes the volunteer application.

Thank you again for your interest in PAIR!