Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Can we run a background check?
Yes
No
Do you have reliable transportation?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Saturday
Morning
Afternoon
Evening
Sunday
Morning
Afternoon
Evening
Refugee Garden Art Program
Yes
No
Redistribute fruits, vegetables, and other donations to refugee families
Yes
No
Data entry
Yes
No
Website maintenance
Yes
No
Or other (please specify):
Reason for interest in Iskashitaa
Relevant volunteer/employment history
How many hours are you willing to volunteer weekly?
*
Emergency Contact Name
*
Emergency Contact Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact Phone
*
(###)
###
####
Emergency Contact Email
How did you hear about us?
Facebook
Instagram
Iskashitaa.org
Volunteer Southern Arizona
Other
If other, please specify:
Would you like to receive our newsletter?
Yes
No
Confidentiality and Diversity Policy
*
Refugees have endured the loss of their homeland and way of life. They may have suffered family losses, intolerable persecution, and torture. Their current challenge is to transition into an alien culture and rebuild their lives. Iskashitaa’s confidentiality and diversity policy is to ensure that refugees are treated with respect while making this transition.
Confidentiality
All individuals who work with Iskashitaa Refugee Network agree to:
1. Respect the privacy of refugees with whom they are working. What the refugee shares, verbally or in writing, is confidential communication and is to be shared with others only when necessary.
2. Not make refugee names, stories, or personal information public without their consent. This includes the use of photographs and information in news stories, church bulletins, and newsletters. This also includes information or pictures on Facebook, Myspace, or other networking sites.
3. Receive written consent before sharing any refugee information and consult with Iskashitaa staff before sharing with external entities.
Respecting Diversity
Iskashitaa team members are a diverse group of individuals from all walks of life. Iskashitaa Refugee Network respects that each team member holds his or her own beliefs and that personal beliefs are an important part of individual identity.
All volunteers, staff, and recipients of services with Iskashitaa deserve equal opportunity. This means that Iskashitaa will not discriminate against any individual on the basis of race, color, religion, sex, age, national origin, sexual orientation, politics, veteran status, or disability.
Recipients, staff, and volunteers deserve to be free from pressure or condemnation because of their beliefs. While serving, all members of the Iskashitaa team agree to act, speak, and behave in ways which demonstrate acceptance and inclusion.
By checking this box, you understand these policies and agree to abide by them.
Volunteer Contract
*
Commitment: I plan to volunteer for at least a three month period. I understand that Iskashitaa Refugees and Staff are counting on me when I make a commitment. If I cannot meet a commitment, I will inform the program supervisor by email with as much notice as possible so that a replacement can be found. I will give at least twenty-four hours of notice before breaking any commitment.Work Quality: I will strive to produce quality work and to leave the community with a positive impression of Iskashitaa.Safety: I understand that my safety and the safety of everyone involved with Iskashitaa depend on my choices. I will take care of my own health when volunteering and be alert. I will never be under the influence of alcohol or drugs while volunteering. Whenever leading a group, I will carefully explain how to keep everyone safe.Respect: I am aware that I will serve with a variety of people and will treat all differences with respect and understanding. Although language and cultural differences may lead me to feel frustrated, I will give each individual the time and respect they deserve. I know that there is never a reason to be disrespectful to a community member, volunteer, staff member, intern, or refugee.Teamwork: As a part of the Iskashitaa team, I will work to understand others’ viewpoints and my own contribution to misunderstandings. I will deal with any issues in a professional manner and in person. I will respect staff and other volunteer’s time by dealing with personal issues outside of work. I will request assistance with issues regarding a team member only after attempting to work through issues independently.Attitude: I chose to be a part of the Iskashitaa team because I believe I can make a positive impact on the refugee community in Tucson. I will ensure that my attitude reflects this belief during my volunteer work and remain a positive influence on my community.Confidentiality and Diversity: I understand and have signed Iskashitaa’s Confidentiality and Diversity Agreement. I will follow these guidelines throughout my service.
By checking this box you agree with these terms.