Chaya, Helpline 206-325-0325 or Toll-free at 1-877-92CHAYA
Search TipsChaya, Helpline 206-325-0325 or Toll-free at 1-877-92CHAYA 
  Volunteer

  
 
Volunteer Application Form

Thank you for your interest in being a volunteer at Chaya. This application form will help us efficiently identify the positions that are best suited to your interests and long-term goals. Please fill out this application to the best of your ability. If you have any questions about this application, please contact us.

 
Personal Information

First Name:    MI:       Last Name:   
Address:
City:    State:     Zip Code:   
Telephone:
Email:
Preferred method of contact:   Email  Phone  Mail
Years Lived in Seattle:        Profession:   
 
Volunteer Interest

Where did you hear about Chaya?   Web  Referral  Publication  Other:  
Why are you interested in volunteering with Chaya?
What committees would you be interested in working with?
Helpine & Support
Events Planning
Womens Health 		Community Outreach & Awarenews Building
Peaceful Families Task Force
Youth Programs
 
Volunteer Experience

List previous experiences (volunteer, paid or educational) that would be helpful in working with Chaya.
Activities Organization
Describe your experiences working with:
Women's Issues:   
Minority Women:   
Direct Client Services:   
Domestic Violence:   
 
Interests / Skills

Please indicate with a check mark which you are the skills/interests that you would be sharing as a volunteer at Chaya.
 
Administrative Skills:
   Typing    Filing    Database Maintenance    Correspondence
   Web Development    Word processing    Desktop publishing    Translation
   Financial/Accounting    Other (specify):
 
Organizational Planning:
   Non-profit Management    Public Policy
 
Development:
   Fundraising    Event planning    Grant writing
 
Mobilization:
   Tabling at events    Public speaking    Discussion forums    Writing
   Creating promotional/educational material    Relationship-building
 
Languages:
If you are able to speak fluently, or read or write, any language other than English, please list:
Speak fluently: Read: Write:
Additional skills/comments:
 
Availability
 
Approximately how much time do you feel you could volunteer (per week/month)?   
 
What is your preferred works schedule? (check all applicable)
   Daytime
   Evening
   Weekdays
   Monthly
   Time commitment undecided
 
Address:Address:
References
 
Name:     Phone:
City:    State:     Zip Code:   
 
Name:     Phone:
City:    State:     Zip Code:   
 
Address:
Emergency Contact Information
 
Name:     Relationship:
City:    State:     Zip Code:   
Phone 1:
Phone 2:
 

Submission of this application indicates your approval for us to check your references.

Thank you for your interest in Chaya!

   

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Chaya
Helpline: 206-325-0325 | Toll-free: 1-877-92CHAYA
Office: 206-568-7576 | Fax: 206-568-2479 | E-mail: chaya@chayaseattle.org
P.O. Box 22291 Seattle, WA 98122