Intern and Volunteer Form

COMPASS Youth Collaborative, Inc. is an affirmative action/equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religious creed, age, marital status, national origin, ancestry, sex, gender identification or expression, sexual orientation, veteran status, intellectual disability, mental disability or physical disability including, but not limited to, blindness, unless such disability prevents performance of the work involved or any other status protected under local, state or federal laws.

Personal Information

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Telephone Number*

Alternative Telephone Number

Are you a student?*

Is volunteer work required for your school?*

What are your school's expectations for volunteering at COMPASS?*

Please describe weekly supervision, timesheets, etc.)

What do you hope to gain from your time with COMPASS? Please describe.*

Reasonable Accommodations

Do you need any reasonable accommodations to perform the task required in this job?*

Please ask the job interviewer for specific questions about the job responsibilities

Please comment on the specific accommodations that need to be provided*

Interest and Experience

What interest you in working with COMPASS?*

Have you worked with high risk individuals before? If so, what was your experience? If not, what other related experiences do you have in regards to COMPASS?*

Previous Volunteer Experience

Do you want to upload a resume or provide your volunteer experience below?*

Please upload a formal resume or cover letter*

If you are providing both, please make sure it is uploaded in one document

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.

Organization #1

Name of Organization #1*

Start Date*

End Date

(If applicable)

Name of Supervisor

First Last

Please describe your responsibilities*

Do you want to add a 2nd organization to your experience?*

Organization #2

Name of Organization #2*

Start Date*

End Date

(If applicable)

Name of Supervisor

First Last

Please describe your responsibilities*

Do you want to add a 3rd organization to your experience?*

Organization #3

Name of Organization #3*

Start Date*

End Date

(If applicable)

Name of Supervisor

First Last

Please describe your responsibilities*

Skill Set

Please describe your skills*

Skills can include things such as tutoring, public speaking, technical skills, etc.

Availability

Please check off your availability*

What site would you like to volunteer in?*

Please comment on what foreign languages you speak, read and/or write.

Agreement with COMPASS*

Please confirm that you have read this agreement by checking the box and providing your signature below.

I certify that all answers given by me are true, accurate and complete. I understand that the falsification, misrepresentation or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of volunteer opportunities, or dismissal from volunteer work regardless of when or how discovered. I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

Signature

Volunteer and Intern Application

Personal Information

Reasonable Accommodations

Interest and Experience

Previous Volunteer Experience

Organization #1

Organization #2

Organization #3

Skill Set

Availability