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Volunteer Application Form
CCWA Volunteer Information Sheet
Click here for a printer friendly version
Today’s Date __________
I am interested in volunteering in the following areas (check all that apply)
___Model United Nations ___Visitor Programmer ___Overnight Home Stay
___Office Volunteer ___Home Hospitality Host ___Volunteer Driver
Name 1 (Mr., Mrs., Ms., Miss., M.D., Ph.D.) ___________________________________
Name 2 (Mr., Mrs., Ms., Miss., M.D., Ph.D.) ___________________________________
Home Address ________________________ City______________ Zip _____________
Phone ____________________________ Fax _______________________________
Work Address___________________________________________________________
Phone _______________ Fax _________________ Profession __________________
Work Address 2 _________________________________________________________
Phone ______________ Fax __________________ Profession __________________
Email 1____________________________ Birthdate 1______
Email 2 ____________________________ Birthdate 2 _____
Interests (please check all those that apply):
___Environment ___Science/Technology ___Law/Politics
___Business/Economics ___Radio/TV ___Arts/Music
___Theater/Drama ___Journalism ___Sports/Recreation
___Other____________
Organizations, Clubs, Affiliations
__________________________________________________________________________
Languages (other than English) spoke (please indicate fluency)
__________________________________________________________________________
Countries that you have visited frequently or lived in for an extended period
__________________________________________________________________________
Geographic/Cultural areas of interest
_________________________________________________________________________
For those interested in volunteering as Home Hospitality or Overnight Homestay Host:
Language or geographic areas from which you would prefer to receive guests
__________________________________________________________________________
Language or geographic areas from which you would rather not receive guests
__________________________________________________________________________
Do you prefer? ___Male guests ___Female guests ___No preference
Smoking preferences? ___OK ___Outside home only ___Prefer not ___Strongly object
If you have children at home, what are their birthdates? (Year)
__________________________________________________________________________
International visitors often feel more secure in pairs.
Would you accept multiple guests? ___Yes ___No
Would you accept an international visitor (accompanied by a professional interpreter) if s/he does not speak any of the languages you speak? ___Yes ___No’
Please return form to:
Cleveland Council on World Affairs
812 Huron Road, Suite 620
Cleveland, OH 44115
Tel: (216) 781-3730
Fax: (216) 781-2729
E-mail: info@ccwa.org
www.ccwa.org