Volunteer Application

Use this form to submit an application to be a SEEDS volunteer.

Please read about our volunteer roles before submitting this application.

**Required field

** Name:

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** Address:

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Address 2:

** City:

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** State:

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** Zip:

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** Phone (please enter at least one, including area code):

Home:

Work:

Cell:

** E-mail address:

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** Sex:

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** Age:

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** Ethnicity:

Caucasian
Latina/Latino
Asian
Native American
Pacific Islander
Multi-racial
OtherPlease make a selection.

Other ways that you identify yourself culturally/ethnically:

13.** Do you speak Spanish fluently?

Please select an item.

14.** Do you speak other languages fluently?

Please select an item.
If yes, which language(s)?

15. How did you hear about our organization? (check all that apply):

Television Magazine Brochure Website Radio	Work Friend Newspaper School
Other:

16.** Please select the SEEDS Volunteer opportunities you are interested in (check all that apply):

Mediation Case Management
Community Mediation Panel
Courts Mediation Panel (Small Claims & Civil Harassment)
Group Facilitation
Training
Youth/Schools Initiative
Outreach/Education
Volunteer Communication
Fundraising (grant writing & event organizing)
Restorative Justice Please make a selection.

17. What experience and skills do you have that you could apply to your mediation work?

Arts Construction Drafting Networking Organizing Parenting	Teaching Marketing Writing Public Relations Public Speaking Computer Technology
Other:

18.** Have you had any prior mediation or conflict resolution training? If so, please explain. (We require at least 40 hrs. to be a Community Mediator.)
This field is required.

19. What are some of your background experiences that contribute to your interest in mediation?

20. What community organization(s) or group(s) are you involved in?

21. How will you apply your mediation/facilitation skills personally/professionally?

22. Is there anything else that you want to tell us about yourself that the previous questions did not address?