UUCSJ Volunteer Placements: Interest Form

Thank you for your interest in volunteering with UUCSJ Partners! Complete the short form below to share information about your interests and skills. You will receive updates on new volunteer opportunities and invited to apply to those that match your skills and interests.

If you have any questions, please contact info@uucsj.org.

- Participant Information -

First Name

Last Name

City

State

Email Address

How did you hear about this opportunity?

If you have participated in other UUCSJ programs in the past, please list them here.

- Volunteer Program Information -

Which countries or regions would you be interested in serving as a volunteer? Select all that apply

Central America & Caribbean	Europe
Indian subcontinent	United States

Which issue areas are you most interested in? Select all that apply.

Disaster Response and Relief	Grassroots Community Organizing
Cultural Immersion	Environmental Justice
Refugee and Immigrant Services	Other

Please specify

-- Language and Skills --

Language Fluency

Besides English, which languages do you speak?

Arabic	French
Haitian Kreyol	Spanish
Other (please specify)	None

Please specify:

What is your Spanish Fluency Level

BeginnerIntermediateAdvancedNative Speaker

What is your French Fluency Level

BeginnerIntermediateAdvancedNative Speaker

What is your Kreyol Fluency Level

BeginnerIntermediateAdvancedNative Speaker

What is your Other Language Fluency Level

BeginnerIntermediateAdvancedNative Speaker

Relevant Skills

Current or Past Professions and Skills:

Carpenter/ Construction	Child Care	Computer specialist
Demolition	Doctor	Engineer
Electrician	EMT	First Aid/CPR Certified
Fundraising	Graphic Design	Legal Professional
Masonry	Midwife	Modern Technology (Building websites, etc.)
Nurse	Plumbing	Psychiatrist
Psychologist	Social Media	Social Worker
Teacher	Trauma Response	Youth Development
Other

Please specify:

Contact Information