Give Back, Share Your Time SILAH Volunteer Application SECTION I - Personal Information First Name * Last Name * Street Address * City, State, Zipcode * Email * Phone * (###) ### #### Other information that will help us make a good match (such as education, general interstes / hobbies) * SECTION II - Availability When are you available? * Please check all that are applicable One time only As needed basis only Sunday Monday Tuesday Wednesday Thursday Friday Saturday What shift(s) are you available to volunteer? * Please check all that are applicable. 8am - noon noon - 4pm 4pm - 8pm SECTION III - Volunteer Assignment Preferences How would you like to help? * Please check all that are applicable. Sunday School teaching Assisting at the Masjid greeting Cleaning the Masjid Feeding and/or assisting the homeless with lodging/hygiene care Pay for someone's groceries Give a ride to someone (such as to run errands, to the Masjid for prayer, etc.) (If this option is selected please complete "DRIVER'S INFORMATION FORM" below. ) Helping with Eid activities Visiting the sick (male volunteers will be connected to male patients, and female volunteers will be connected to female patients) Visiting new mothers in the hospital (female volunteers only) Participate in rotating schedule to provide meals to families of the sick or families with a newborn child Visiting New Muslims Assisting with someone's rent payment Providing or arranging payment for temporary lodging for those stranded in Hawaii (If this option is selected please complete the "LODGING COMMITMENT FORM" below.) Providing or arranging payment for temporary shelter for victim of domestic abuse (If this option is selected please complete the "LODGING COMMITMENT FORM" below.) Cleaning an elderly’s persons’ home and/or providing laundry services Feeding and/or providing care of an animal, either in an animal shelter or one belonging to the homeless Thinktank participation SECTION IV - Supplemental Forms for Volunteering Driver's Information Form Must be completed if "GIVE A RIDE TO SOMEONE" option was selected above. Lodging Commitment Form Must be completed if either of the following volunteer options was selected above: "PROVIDING OR ARRANGING PAYMENT FOR TEMPORARY LODGING FOR THOSE STRANDED IN HAWAII" "PROVIDING OR ARRANGING PAYMENT FOR TEMPORARY SHELTER FOR VICTIM OF DOMESTIC ABUSE" One night Two nights Three nights More SECTION V - OTHER Have you ever been convicted for violation of any laws, traffic, or otherwise? * Compliance with the laws of the State of Hawaii and for the safety of those receiving volunteer services, please provide the following information, if applicable: Yes No If yes, please explain: SECTION VI Signature of Applicant * I hereby give my consent to SILAH to contact me and to inform me anytime there is a need to serve others. I have read and agree to all of the terms above, checking this box acts as my legal signature Thank you!
