NYDIS 2018 Hurricane Evacuee Services
Volunteer Registration Form

Volunteer Registration - Puerto Rican Evacuee Casework

Thank you for your interest in supporting evacuees from Puerto Rico and the US Virgin Islands. Since October 2017 NYDIS has distributed emergency assistance to 1,200 evacuee families in NYC - we could not have done so without the dedication of our wonderful volunteers.

NYDIS is looking for Spanish speaking volunteer caseworkers to help families achieve long term recovery from Hurricane Maria. Volunteers will need to be available EITHER Wednesdays, Saturdays, or both. Minimum 3 month commitment.

Please fill out this form with your information so we can get a better understanding of your skills, experience, and availability. We appreciate your time and enthusiasm. Please complete all fields, you'll hear from us soon!

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* 1. Contact Information

Name *

Address *

Address 2

Borough (if in NYC)

City *

State/Province *

ZIP/Postal Code *

Email Address *

Best Contact Number *

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* 2. Date of Birth

Date

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* 3. English fluency (verbal and written)

Native Fluency

Advanced

Intermediate

Beginner

None

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* 4. Spanish fluency (verbal and written)

Native Fluency

Advanced

Intermediate

Beginner

None

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* 5. Do you have previous experience in social work, case management, or related field?

Yes

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* 6. If yes, please describe.

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* 7. Is there any reason you would not pass a background check?

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* 8. What is your volunteer availability? Please check all that apply.

Wednesday: 10:00AM - 5:00PM

Saturday: 11:00AM- 5:00PM

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* 9. Are you able to make a weekly commitment?

Yes

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* 10. On what date are you able to start volunteering?

Available to Start

Date

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* 1. Contact Information

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* 2. Date of Birth

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* 3. English fluency (verbal and written)

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* 4. Spanish fluency (verbal and written)

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* 5. Do you have previous experience in social work, case management, or related field?

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* 6. If yes, please describe.

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* 7. Is there any reason you would not pass a background check?

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* 8. What is your volunteer availability? Please check all that apply.

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* 9. Are you able to make a weekly commitment?

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* 10. On what date are you able to start volunteering?

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* 11. Is there anything else we should know about you?