Volunteer Application

Thank you for your interest in volunteering / interning at CARECEN! Please fill out the following fields as completely as possible. One of our staff will be in touch soon.

First Name *

Last Name *

Pronouns

Today's Date *

Phone Number *

Email *

Location (Choose all that apply)

Why are you interested in working with CARECEN?

Area(s) of interest (Choose all that apply)

How many hours a week are you available?

List languages skills beside English, including level designation of Basic/Conversational/Proficient/Fluent.

How did you find us?

The following is our volunteer Confidentiality Agreement Statement: I will not discuss with anyone or disseminate any client’s information or write and/or publish any materials regarding my work at CARECEN, except with other CARECEN staff and for the sole purpose of assisting the client with his or her case. Nor will I contact CARECEN clients and/or students outside of the CARECEN office unless communication is sanctioned by CARECEN and is conducted through appropriate means, such as CARECEN phone and email.

I have read and understand the confidentiality agreement and will adhere to it. *

Type out Name as Signature *

Resume/Cover Letter

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