Contact Information

Country*
Email*
Confirm Email*
Phone*

Skills

We would love to hear any skills you or your group may have that will be of benefit to our children. Please share in detail accordingly. If not applicable, please put N/A. 

Educational Background including major or college status if student:*
Language(s) Spoken, please indicate fluency level:*
List experience you may have working with or being around children, please include ages of children if applicable:*
Share any additional information you would like to share about yourself, including hobbies & interests:*

Organization

If traveling with a school or organization, we would like to have more information about the school/organization. If not applicable, please enter N/A for each answer.

Organization Name*
If you are a board member and/or serve in any defined role with another non-profit or organization that collects donation or does fundraising, then please list name and your role with details*

Logistics

Please list the time frame, and dates of your availability and requested duration of visit/volunteer. (Please note, a maximum 10 days is allowed)*

Medical Conditions

Please enter in N/A if not applicable.

Please list any medical conditions:*

Background Check

Will you comply with fingerprint and background check if requested?*
  • Yes
  • No

Do you have any charges pending, have been convicted, received probation or deferred adjudication for the following:

Any offense against a child?*
  • Yes
  • No
Any sex offense?*
  • Yes
  • No
Any charges/crimes against persons involving weapons or violence?*
  • Yes
  • No
Any felony offense involving controlled substances?*
  • Yes
  • No
Any felony offense against property?*
  • Yes
  • No
Any other offense which might compromise the safety of students, staff or property?*
  • Yes
  • No

Please provide information for 3 references GiveLight can contact, please included: full name, email address, phone, and relationship to you. Please include at least 2 individuals outside GiveLight Foundation.

1st Reference:

Name:*
Email:*
Phone:*

2nd Reference:

Name:*
Email:*
Phone:*

3rd Reference:

Name:*
Email:*
Phone:*

Minor(s)

Will there be minor(s) traveling in with you?*
  • Yes
  • No
Are you the parent of the minor(s)?*
  • Yes
  • No
  • Minors will not be accompanying me.

Agreements

To keep GiveLight donations focused on the children we serve, as a volunteer I agree to cover the cost of my daily meals/lodging/expenses during my stay as listed below. Indonesia/Cambodia Home: $30 per day, per person Bangladesh/Sri Lanka Home: $40 per day, per person Morocco Home: $50 per day, per person*
  • Yes
  • No
I agree not to make any travel arrangements until full approval is granted by GiveLight Global Homes Coordinator.*
  • Yes
  • No
As a volunteer for GiveLight, I agree to abide by the policies, procedures, terms and conditions. I understand that I will be volunteering at my own risk and that GiveLight, its organizers, affiliates, or Board of Directors do not assume any responsibility or liability for any accident, injury or health problem which may arise from any volunteer work I perform during my volunteer experience. I agree that I am a volunteer and I am not eligible to receive any monetary payment or reward from GiveLight or it’s affiliates.*
  • Yes
  • No
It is mandatory for all volunteers to submit a brief summary regarding their experience at the GiveLight home. I agree to send an electronic word document summary to global-homes- volunteer@givelight.org within 3 weeks of departing from the home.*
  • Yes
  • No
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