Global Outreach Alliance
Empowering Communities
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Serve. Discover. Enhance. Go mentoring today! Please do your best to fill out the application below in its entirety using as much detail as possible. This isn’t meant to be tedious, we’re simply looking for basic answers that will shine light on your ability to mentor and make a lasting difference in the lives of others. Don’t forget to upload a resume and read the PDF compliance documents at the end of the application. Once you submit your application, Global Outreach Alliance mentoring team personnel will review your qualifications and interests and get back to you within 48 hours with more information. Also, by applying, you will automatically be added to Global Outreach Alliance's volunteer database to receive updates, news, and additional information about service opportunities. We sincerely thank you for your interest. ***All fields required***
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Personal Information
Name
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First
Last
Email
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Phone
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Birthday
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Address
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Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
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Guinea
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Guyana
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Hungary
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India
Indonesia
Iran
Iraq
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Jamaica
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Jordan
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
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Mauritania
Mauritius
Mexico
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Moldova
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Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Background Information
Current Occupation
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Education
*
Volunteer Experience
*
Travel Experience
*
References & Contacts
Reference #1
Name
*
First
Last
Relationship
*
Your relationship to Reference #1
Phone
*
Reference #2
Name
*
First
Last
Relationship
*
Your relationship to Reference #2
Phone
*
Reference #3
Name
*
First
Last
Relationship
*
Your relationship to Reference #3
Phone
*
Emergency Contact #1
Name
*
First
Last
Relationship
*
Your relationship to Emergency Contact #1
Phone
*
Emergency Contact #2
Name
*
First
Last
Relationship
*
Your relationship to Emergency Contact #2
Phone
*
Skills, Interests & Hobbies
Disabilities/Sicknesses
*
Do you have any disabilities and/or sicknesses of which you'd like us to be aware? (Please be specific)
Interest in Mentoring
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Why are you interested in being a mentor to empower children with us?
Skills & Expertise
*
What skills and expertise would you like to share with us?
Hobbies
*
What are your hobbies (e.g. sports, activities, organizations)?
Music / Culture / Art
*
What music/cultural/art activities or events do you enjoy?
Availability
Soonest Availability Date
*
Which mentor program(s) are you interested in mentoring for?
Upcoming Team Expeditions:
Agriculture/Education in Uganda (January 16-30, 2012)
Cambodia House Building (February 11-20, 2012)
Micro-Enterprise/Education in Kenya (April 9-23 2012)
Cambodia House Building and Micro-savings Research (June 11-20, 2012)
Nazareth Mentoring Camp in Israel (July 1-14, 2012)
Rebuild School in China (Tibet), (October 2012, TBA)
Individual / Small Group Expeditions:
Cambodia: teaching in CICFO orphanage and EYC slum schools (year round)
China: teaching & building (April through October)
Israel: teaching & micro-enterprise (year round)
Kenya: teaching, micro-enterprise, sustainable agriculture (year round)
Uganda: teaching, micro-enterprise, sustainable agriculture, youth sports leagues (year round)
Feel free to check as many programs as you are interested in. Our coordinators will be able to answer any questions you may have!
Length Desired
*
1 week
2 weeks
3 weeks
1 month
2 months
3 months
Approximately how long would you like to volunteer
How did you hear about Global Outreach Alliance?
*
Friend
Facebook
Twitter
Searching the Internet
Other
Your friend's name
*
How did you hear about us?
*
Because you selected "Other" above, please fill in how you heard about us
Attach your Resume
(Accepted file types: .doc, .docx, .pdf)
Terms & Agreement
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I have read and agree to the terms and agreement for being a mentor as stated in the Terms & Agreement.
Note: You will need to sign and submit this document when your deposit is submitted.
Download the Terms & Agreement document.
Assumption of Risk and Release
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I have read and agree to the terms and agreement for being a mentor as stated in the Assumption of Risk & Release.
NOTE: You will need to sign and submit this document when your deposit is submitted.
Download the Assumption of Risk & Release document.
Mentor Code of Conduct
*
I have read and agree to the terms and agreement for being a mentor as stated in the Mentor Code of Conduct.
NOTE: You will need to sign and submit this document when your deposit is submitted.
Download the Mentor Code of Conduct document.
