Common Bond Institute
www.cbiworld.org
Volunteer / Intern Application Form
Please copy and paste this form into an Email to complete and submit.
* Type “Volunteer” in subject line
(TYPE OR PRINT CLEARLY)
1. Enter your information
NAME:
Address:
Phone: Day ( ) Eve ( ) Fax ( )
E-Mail:
Web:
Best Way to reach you:
* NOTE: Please first visit our website for a detailed overview of volunteering and
interning with Common Bond Institute, including typical tasks involved,
at: www.cbiworld.org/volunteer/
2. How did you learn of Common Bond Institute?
______________________________________________________
3. Which CBI program(s) are you interested in volunteering / interning for? (see our website for list of conferences and programs):
______________________________________________________
4. What is your Time availability
– It is important to include dates available and estimated number of hours per week:
Dates: _______________ Months: ____ Estimated Hours Per Week: ____
(If more or less available during different dates please clarify):
_______________________________________________________
5. What is your Location availability?: (some tasks can be done from any location)
[a] Where are you typically located (country & city)?: __________________
[b] Are you able to travel beyond this to take on tasks?
Domestically? Yes [ ] No [ ] * If yes, where? _____________________
Internationally? Yes [ ] No [ ] * If yes, where? _____________________
_______________________________________________________
6. Do you have:
[a] Regular access to a computer and the Internet? Yes [ ] No [ ]
[b] Your own transportation? Yes [ ] No [ ]
7. Education and/or training background:
Education: ___________________________________________
Relevant training and/or experience: _________________________
Any previous positions you have held: _________________________
8. What skills and/or experience do you have that you would like to contribute to volunteering / interning (including academic or vocational training and field experience)? Use addl. page if needed:
______________________________________________________
* For the Following items please indicate both yes or no answers and if that area is of interest to you:
9. Resource Development:
Do you have any skills or experience in these areas, (or interest in):
– Researching grants and funding sources? Yes [ ] No [ ] Interested in? [ ]
– Writing grants and requests for funding? Yes [ ] No [ ] Interested in? [ ]
– Evaluating grant outcomes? Yes [ ] No [ ] Interested in? [ ]
– Planning and organizing crowd-fundraising strategies and programs?
Yes [ ] No [ ] Interested in? [ ]
– Generating “in-kind” resources? Yes [ ] No [ ] Interested in? [ ]
– Any research skills that can be applied in this? Yes [ ] No [ ] Interested in? [ ]
– Other? ___________________________
10. Technical: Do you have any technical skills or experience, (or interest in):
– Using Social Networking sites (Facebook, etc.), including familiarity with creating
pages and various functions helpful in raising awareness of conferences and
promoting public dialogue on core issues)? Yes [ ] No [ ] Interested in? [ ]
– Website design or management (including blogs, E-conferencing, etc.)?
Yes [ ] No [ ] Interested in? [ ]
– Data management? Yes [ ] No [ ] Interested in? [ ]
– Graphic arts / Desktop Publishing? Yes [ ] No [ ] Interested in? [ ]
– Video recording? Yes [ ] No [ ] Interested in? [ ]
– Video editing or production (including digital conversion for Internet use)?
Yes [ ] No [ ] Interested in? [ ]
– Operating basic presentation equipment (LCD projectors, DVD, Laptop, microphones
and PA systems, etc.)? Yes [ ] No [ ] Interested in? [ ]
– Computer programs familiar with: __________________________________
– Other?
11. Promotion and Publicity: Do you have skills or experience in, (or interest in):
– Developing & implementing publicity programs to raise awareness of efforts?
Yes [ ] No [ ] Interested in? [ ]
– Networking with organizations and community groups for cooperation?
Yes [ ] No [ ] Interested in? [ ]
– Working with media outlets? Yes [ ] No [ ] Interested in? [ ]
– Developing & implementing marketing strategies? Yes [ ] No [ ] Interested in? [ ]
12. Do you have experience in Event Organizing & Operations, (or interest in):
Yes [ ] No [ ] Interested in? [ ]
If so, what particular tasks are you experienced with?:
– Pre-conference organization Yes [ ] No [ ] Interested in? [ ]
– On-Site Operations Yes [ ] No [ ] Interested in? [ ]
13. Editorial assisting (journals, newsletters, etc.) Yes [ ] No [ ] Interested in? [ ]
14. Research: Yes [ ] No [ ] Interested in? [ ]
__________________________________________________
15. What attracts you to joining our volunteer team? (Including how is CBI’s mission & work, or the particular program you are interested in assisting with, relevant for you):
______________________________________________________
16. What would you like to gain from your experience volunteering for CBI, personally and/or professionally?
______________________________________________________
17. Any additional information you would like to share, or any particular questions you may have?
______________________________________________________
18. Are you interested in a volunteer experience or an internship?
(if the latter, have you already discussed this with your school or instructor?):
Professional Volunteer [ ] Internship [ ]
Submit form by Email *(best and preferred), or by Fax or land mail to:
* Type “Volunteer” in Email subject line
Common Bond Institute
Steve Olweean, Director
12170 S. Pine Ayr Drive, Climax, MI 49034 USA
Ph/Fax: 269-665-9393 Email: SOlweean@aol.com Website: www.cbiworld.org
Details at: www.cbiworld.org/volunteer