Volunteer Registration Form

1

Name・名前* This field is required.

First Name・名前

Last Name/苗字

2

Age・年齢* This field is required.

3

Organization・団体どこかの団体に所属されている場合は記載をお願いします。

4

E-mail・メールアドレス* This field is required.

5

Phone Number・電話番号

Area Code

Phone Number

6

Is this your first time volunteering in a homeless program?* This field is required.ホームレスの方の支援をされるのは、初めてですか？

Yes

No

7

In what way do would you like to volunteer?* This field is required.どのようにボランテアして行きたいですか？

Volunteering on 3rd Saturday Monthly Outreaches

Financially

Toiletry/ Food/ Clothing Donations

Tuesday Morning Volunteering

All the above

8

What are some skills you possess?* This field is required.どうなスキルがありますか？

9

What do you most want to learn from the experience?* This field is required.このボランティアの体験によって学びたいことは何ですか？

10

How long do you think you would like to volunteer with our organization for?* This field is required.いつまでボランティアしたいですか？

11

When are you able to commence volunteering?* This field is required.いつからボランティアをしたいですか？

12

Are you prepared to attend training and/or a information session?* This field is required.ボランティア説明会に来れますか？

YESNO

13

How did you find out about the Akiramenai project?* This field is required.アキラメナイプログラムを知った切っ掛けは何ですか？