Chaya, 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:    Last Name: 
Email:
Address:
City:    State/Province:     Zip: 
Country:
Telephone:    Birthdate: 
Do not email    Do not call
 
Volunteer Interest

Where did you hear about Chaya?   
Why are you interested in volunteering with Chaya?
 Personally impacted  End DV in the South Asian community
 Gain knowledge and skills  Enjoy volunteering with friends/family
 Have fun!  Meet new people with similar values/identities
 Give back to my community  Use my free time productively

Additional comments:
How would you like to help?
(select all areas that interest you)
 
Volunteer Experience / Interests / Skills

Chaya Volunteer Status:
Field experience/interest/connections:
(select all that apply)
 I have interpretation/translation experience
 I am court certified

Languages
If you are able to speak fluently, read, or write any language other than English, please select the language(s) below.
Speak fluently: Read: Write:
References

Please list 2 references, including name, address, phone, and email if possible. Thank you.

Reference #1:
Reference #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