Volunteer ApplicationMonsoon United Asian Women of Iowa | Statewide Chatline Services

Personal informationName _______________________________________________________________________

Phone Number _______________________ Alternate phone ______________________

Email address ________________________________________________________________

Address _____________________________________________________________________

City, State, & Zip ______________________________________________________________

School & Grade or Area of Study, if applicable _______________________________________

____________________________________________________________________________

Language skills

EnglishPlease indicate fluency: Fluent, Moderate, Some, or None

Speaking _____________ Reading _____________ Writing _____________

Do you speak, read or write another language besides English? Yes / No

Primary Non-English Language Please indicate fluency level: Fluent, Moderate, Some, or None

Speaking _____________ Reading _____________ Writing _____________

Other Non-English Language Please indicate fluency level: Fluent, Moderate, Some, or None

Speaking _____________ Reading _____________ Writing _____________

1

Updated 3/22/2016

Volunteer ApplicationMonsoon United Asian Women of Iowa | Statewide Chatline Services

Other skillsPlease indicate your skill levels in the following areas:

Organization None Beginner Intermediate Advanced

Event planning None Beginner Intermediate Advanced

Public speaking None Beginner Intermediate Advanced

Art & design None Beginner Intermediate Advanced

Research None Beginner Intermediate Advanced

Teaching or training None Beginner Intermediate Advanced

Crisis counseling None Beginner Intermediate Advanced

Supervising others None Beginner Intermediate Advanced

Program evaluation None Beginner Intermediate Advanced

Translation / interpretation None Beginner Intermediate Advanced

Coding and/or web design None Beginner Intermediate Advanced

Word processing None Beginner Intermediate Advanced

Creative writing None Beginner Intermediate Advanced

Academic writing None Beginner Intermediate Advanced

Photography None Beginner Intermediate Advanced

Videography None Beginner Intermediate Advanced

Performing arts None Beginner Intermediate Advanced

Other _____________________________ Beginner Intermediate Advanced

Other _____________________________ Beginner Intermediate Advanced

Other _____________________________ Beginner Intermediate Advanced

2

Updated 3/22/2016

Volunteer ApplicationMonsoon United Asian Women of Iowa | Statewide Chatline Services

Interest“I would like to…”(check all that apply)

❏ Chat with survivors, and I am open to the following schedule:❏ Regular schedule❏ Select evening, weekend, or holiday hours❏ On-call

❏ Help with administrative/office tasks

❏ Do outreach or lead workshops

❏ Plan events

❏ Help out before, during, or after events

❏ Translate or interpret

❏ Work on social media

❏ Do research or program evaluation

❏ Use my creative or technical skills: __________________________________________

❏ Other: _________________________________________________________________

Please state fully why you are interested in volunteering with the Chatline:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

3

Updated 3/22/2016

Volunteer ApplicationMonsoon United Asian Women of Iowa | Statewide Chatline Services

Volunteer ExperiencePlease summarize current & former volunteer experiences below:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Work ExperiencePlease summarize current & former work experiences below:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

ScheduleHow many hours are you looking to volunteer each week? _________

Please list your availability below:

Monday _______________________ Friday _______________________

Tuesday _______________________ Saturday _______________________

Wednesday _______________________ Sunday _______________________

Thursday _______________________

4

Updated 3/22/2016

Volunteer ApplicationMonsoon United Asian Women of Iowa | Statewide Chatline Services

Please sign below to certify that the information in this application is true to the best of your knowledge:

Signature ____________________________________________ Date ___________________

Please send this form along with resume (if available) to:

Monsoon United Asian Women of Iowa4952 Franklin Avenue

Des Moines, Iowa 50310Attn: Alexandra Nassif

OR e-mail me this form and your resume at alexandranassif@muawi.org.

Thank you for your interest!

- Alexandra Nassif, Chat Services Coordinator

5

Updated 3/22/2016