CHAP Volunteer Application for non US citizens over the age of 18

Please complete this form if you are an international student or non-US citizen over the age of 18 that cannot provide a social security # for background check.

We do require a letter of reference on your behalf. This can come from a teacher, coach, club leader, etc. Please upload your letter of reference at the end of this application. Thank you!!

Volunteer Information

Name *

First Name

Last Name

Preferred Pronouns:

Date of Birth *

Phone *

Email *

Verify Email *

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Emergency Contact Information *

First Name

Last Name

Relationship to Volunteer

Phone *

General Information

Are you volunteering to fulfill a service requirement?

If yes, please indicate how many hours you need and the date they must be completed by.

How long would you like to volunteer for CHAP?

Which activities are you interested in volunteering for?

Please check all that apply

CHAP Studio

Art Club

Art Parties + Workshops

Outreach Events

CHAPlandia

What days are you typically available to volunteer?

Please check all that apply. (Please note that the Studio is closed on Sundays and Mondays, although occasionally we need volunteer help with events on Sundays)

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Other skills

(In addition to any skills you think would be helpful at CHAP, please list specific languages you speak other than English here, if you checked that box above)

Why do you want to volunteer at CHAP?

What else should we know about you?

Image Release

I consent to, and authorize the taking, use, and reproduction of images and audio, of me at Children’s Healing Art Project (CHAP) by any media entity or individual hired by CHAP. I understand that I will not be compensated for the use of my images. This release shall remain in effect unless and until I notify CHAP of my revocation in writing, and agree that such revocation will apply only to materials, presentations, or publications produced or printed by CHAP after receipt of my written notification.

Applicant’s Certification

CHAP is an equal opportunity employer and does not discriminate on the basis of sex, age, race, color, religion, national origin, mental or physical disability, marital status or military service or any state protected classifications. We honor and value diversity in the workplace.

No applicant will be rejected as a result of an impairment that with reasonable accommodation does not prevent performance of the work.

CHAP does not tolerate sexual harassment or harassment on the basis of any protected class status in the work place.

I certify that I have answered truthfully and have not knowingly withheld information relative to my application. I understand that any misrepresentation or material omission on the application will result in my being eliminated from further consideration. I further understand that, if accepted to volunteer, any misrepresentation or material omission that becomes known to CHAP may result in my immediate termination.

If accepted to volunteer, I agree to adhere to all existing and future instruction, rules, and policies of CHAP. I understand that my position can be terminated at any time, at the option of either CHAP or myself.

I agree that I offer my services as a volunteer with no exception of monetary compensation and that I am to fulfill the commitment as outlined including any required training.

I have read and reviewed the above statements and other information provided in the handbook. *

Digital Signature *

First Name

Last Name

Upload your letter of reference *

Demographic Information (optional)

CHAP is working to collect demographic information about participants to ensure diversity, equality and inclusion in our programs.

Gender

Female

Male

Other

Ethnicity

Please check all that apply

Black or African American

White

Asian

Native Hawaiian or Other Pacific Islander

Native American or Alaska Native

Hispanic

Other