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ការដឹកជញ្ចូនអាហារនៅឡងប៊ិច

ពាក្យសុំចុះឈ្មោះ

ដើម្បីចុះឈ្មោះចំណាប់អារម្មណ៍របស់អ្នកសូមបំពេញសំណុំបែបបទខាងក្រោមហើយចុចប៊ូតុងបញ្ជូន។ នៅពេលដែលយើងទទួលបានបែបបទចុះឈ្មោះរបស់អ្នកហើយយើងនឹងទាក់ទងអ្នកក្នុងរយៈពេល ២៤ ម៉ោង។

កាលបរិច្ឆេទចុះបញ្ជី:

ឈ្មោះ៖

*Last Name:

អាស័យដ្ឋាន៖

ទីក្រុងនិងរដ្ឋ៖

ហ្ស៊ីពៈ

សូមផ្តល់លេខទូរស័ព្ទដែលដំណើរការសំរាប់អ្នកបើកបររបស់យើងដើម្បីទាក់ទងអ្នកមុនពេលដឹកជញ្ជូន។

ទូរស័ព្ទតាមផ្ទះ៖

ទូរស័ព្ទចល័ត:

*Please provide your preferred email as Help Me Help You communicates mostly via email.

អ៊ីមែល៖

ព័ត៌មានប្រជាសាស្ត្រ៖

*Please select one:

Currently Employed

Retired

Unemployed

Student

Name of Employer/School

Occupation/Field of Study

Street Address

City

State

Zip Code:

*Are you volunterring as an:

Individual

Company/Business

Group

Name of Group/Company?Business?

How Many Are Volunteering In Your Group/Business/Company?

Education & Skills

*I have completed:

High School

Some College

College Degree

Graduate Degree

If attending High School what year are you currently in?

ផ្សេងទៀត:

If you required volunteer hours for school/collage credt, how many do you need?

Have you volunteered before?

Yes

Name of organization

What were your volunteer duties?

តើភាសាចម្បងរបស់អ្នកគឺជាអ្វី?

Do you speak a language(s) other than English?

Yes

Please list any special skills you have, including computer skills/business skills:

Please list any health issues or physical restrictions that we should be aware of:

Availability/Interests:

Please list the days and shifts that you are interested in volunteering below:

Mornings? Specify days:

Afternoons? Specify days:

Evenings? Specify days:

Please check areas that you are interested volunteerig

Grocery Grab N Go/food pantries

Food Drive & Deliveries

Volunteer Coordinator

Office Administration

Marketing/Public Relations/Outreach

Social Media

Research

Book Keeping

Technology

ព័ត៌មានទំនាក់ទំនងបន្ទាន់៖

ឈ្មោះទំនាក់ទំនងបន្ទាន់ទី ១៖

លេខទូរសព្ទ:

លេខទូរស័ព្ទដៃ:

References:

Professional Reference (employer/supervisor/client/business associate:

First and Last Names:

Name of Company:

Relationship to you (e.g. supervisor, etc):

Street Address:

Zip Code:

City:

Business Phone Number:

State:

Personal Reference (employer/supervisor/client/business associate):

First and Last Names:

Street Address:

Zip Code:

Relationship to you (e.g. teacher, coworker, friend):

City:

State:

Cell/Business Phone Number:

យោបល់ / ព័ត៌មានបន្ថែមអ្នកចង់អោយយើងដឹងៈ

PLEASE READ BEFORE & AGREE BEFORE SUBMITTING

By checking "yes" you agree to the following:

អ្នកបើកបរត្រូវបានគេណែនាំឱ្យទុកគ្រឿងទេសរបស់អ្នកនៅមាត់ទ្វាររបស់អ្នករោទិ៍ទ្វាររឺគោះហើយទៅចិញ្ចើមផ្លូវហើយរង់ចាំដើម្បីប្រាកដថាអ្នកទទួលបានគ្រឿងទេសរបស់អ្នក។ អ្នកបើកបរនឹងរង់ចាំនៅពេលដើរចំហៀងដើម្បីធានាថាអ្នកបើកទ្វារហើយទទួលបានគ្រឿងទេសរបស់អ្នក។ ប្រសិនបើកាបូបគ្រឿងទេសរបស់អ្នកធ្ងន់ពេកត្រូវដឹកសូមយករបស់របរពីរបីក្នុងពេលតែមួយហើយយករបស់របរចូលក្នុងផ្ទះរបស់អ្នក

*I agree to the terms outlined above:

Yes

*MEDIA RELEASE:

*I grant Help Me Help You permission to use my likeness, voice and words in television, radio, film or in any form to promote their work.

Yes

You must be at least 14 years of age to volunteer. If you are between 14 and 17 years of age, we will receive a “Parental Consent” form to be completed by your parent/guardian prior to being approved to volunteer.

សូមអរគុណសម្រាប់ការដាក់ស្នើ!

(៥៦២) ៦១២-៥០០១

info@helpmehelpu.org

MSC ១៣០១ ដបុលយូ ១២ ផ្លូវឡងប៊ិច CA ៩០៨១៣

ប្រអប់សំបុត្រលេខ ៣២៨៦១ ឡងប៊ិច CA ៩០៨៣១

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