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 VISTA Volunteer Coordinator, Michelle Jarest at michelle@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: After School Programs
Please select ALL programs in which you are interested/able to participate. 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. We will do our best to place you in a program based on your initial interest and availability. If you have a strong preference for a specific program, please list your preferences in descending order in the rank box located below all of our volunteer options. Please note that programs do fill up quickly, so you may not be placed in your first preference. By selecting a weekly session, you understand you are committing to attend your assigned program on your assigned day each program week for at least one semester (10 program weeks per semester. You understand that making this commitment means that your fellow volunteers and one or more students are depending on your attendance and support at sessions each program week.



Initial Interest and Availability: Middle School Morning Mentoring
PAIR provides individual mentoring opportunities with middle school students at one of our school sites. This will be held for approximately one hour in the morning before school is in session for the day. You will be assigned one student who you will meet with for the entire academic year. By selecting this program, you understand that making this commitment means that your assigned student is depending on your attendance and support at sessions each program week.



Initial Interest and Availability: High School Individual Mentoring
PAIR’s individual mentoring program for juniors and seniors in high school strives to help refugee youth graduate from high school, explore careers, and apply for post-secondary education. The pairs meet at their own designated time and location. However, the majority of the students live in Southwest Houston and will rely on their mentor for any necessary transportation. Mentors must be 21 or older, have access to an insured vehicle, and be comfortable driving mentees in their personal vehicle. The commitment is for one calendar year (9/1/2017-8/31/2018) for a minimum of 6 hours per month. Experience with youth or newcomers is a plus. Upon receipt of this application, the Program Manager will reach out to you if you are deemed a suitable candidate for the program. Personal references, criminal, and driving background checks will be required later in the process.


Initial Interest and Availability: Other Opportunities
If you are not able to join one of our programs but have other skills to offer, we would still love to have you! Please feel free to provide comments related to your selection in the “Other” box. 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!

** Translators may assist program staff in translating documents or communicating with students or their families. We have an ongoing need for a variety of languages, including but not limited to: Nepali, Arabic, French, Swahili, Kinyarwanda, and Urdu.**




Commitment and Selection Rank
By applying to the programs listed above, you understand the commitment you are making to the specifications of that program. Submitting this application confirms that you are available for above mentioned times and/or days for either the semester or academic year, according to your program preference. Please rank in descending order the opportunities that you selected from all of the above boxes. Please note that programs do fill up quickly, so you may not be placed in your first preference. Once your application has been submitted and processed, you will be notified of which program you have been placed in to volunteer.



Emergency Contact Information







Education Information
Please enter education information for the most current institution, whether you have obtained or are still seeking a diploma, degree, or certificate.







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.


Transportation
Reimbursements are made to approved drivers and rideshare coordinators, for carpools to and from program sessions only.

Carpools: 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. Please note drivers’ own automobile insurance must cover their driving activities.

Rideshare coordinators: Approved rideshare coordinators will be reimbursed for the cost of each trip throughout the semester. Reimbursements are not made for free rideshare credits.


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!