Volunteer Intake Form - Nā Keiki O Emalia

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Nā Keiki O Emalia

Grief Support for Children and Teens

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Volunteer Intake Form

Name(Required)

First Last

Email(Required)

Phone(Required)

City State and Zip

City State / Province / Region ZIP / Postal Code

Do you currently live on Maui?(Required)

Yes

No

Somtimes

How Long have you lived on Maui. Have you lived anywhere else?(Required)

Further explanation about residence

1. What draws you to wanting to become involved with Nā Keiki O Emalia and providing support to grieving youth and families?(Required)

2. Do you have any experience with grieving children, teens or families?(Required)

3. Are you interested in becoming a group facilitator?(Required)

Yes

No

Maybe

If interested in facilitating direct them to the Facilitator link on our website menu under "How You Can Help"

There they can:

Get general information about facilitating

Sign Up for Monthly Zoom Facilitator Enrichment Training hosted by different experts each month

Sign up for Online Grief Group Facilitator Training Courses

Sign up for an In-Person Intensive 2-day Training

4. Please share your past volunteer experiences. What did you like the most and least about these experiences?(Required)

5. Have you had any personal experiences around grief and loss in addition to the personal and collective losses we have all faced since the Maui wildfires?(Required)

6. What roles are you interested in most? (Note: this info should be in their original application)

Support Group Facilitation in Schools

Support Group Facilitation in Community Centers

Facilitator Mentor (must have training)

Volunteer Leader

Community Outreach

Compassion Calls

Helping at Events

Keiki Care Package Program

Office Admin

Videography

Social Media

Marketing

Other

Other Role

7. Do you have specific skills, you'd be enthusiastic about sharing with our organization?(Required)

8. How much time are you able to commit on a weekly/monthly?(Required)

9. Are you looking for a short-term (e.g., a few weeks or months) or long-term (e.g., several months to a year or more) volunteering opportunity?(Required)

10. Are you comfortable working independently or do you prefer to work in a team?(Required)

Teams

Independently

Both

What age groups are you comfortable or interested in working with?

Littles

Middles

Teens

Adults

No Preference

The following questions are voluntary, but will help us know best how to place you.

How familiar are you with Hawaiian culture?

Are there any other cultures that you are familiar with?

Do you speak any other languages (including sign language) than English? If so, would you be interested in translating?

11. We require background checks for all our volunteers. Are you willing to have a background check at no cost to you?(Required)

Yes

No (explain Below)

Needs further discussion - Explain Below

Notes on background check

12. Do you have any physical or health limitations we should be aware of?(Required)

13. How did you hear about our organization and the volunteer opportunities we offer?(Required)

14. Anything else that you would like to share that would be important or helpful for us to know about you?

Qualified Volunteer? Cleared to request background check?(Required)

Yes

No (explain below)

Needs further discussion (explain below)

Interviewers Private Notes - Observations(Required)

Name and position of interviewer (click plus to add more than one)(Required)

Interviewer

Position with NKOE

Date

MM slash DD slash YYYY

I am not a robot - Please answer 9 + 2 before submitting(Required)

11

98

76

Δ

Recent posts

Managing Childhood Grief and Mourning: A Guide for Parents
March 31, 2023
Dealing with Terminal Illness, Dying, and Death with Children at Their Level
March 31, 2023
10 Ways to Support a Grieving Child During the Holidays
March 31, 2023

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Contact

Cameron Center
95 Mahalani St – Room 10
Wailuku, HI 96793

Mail:
PO Box 1137
Wailuku, HI 96793

Phone:
(808) 214-9832

Email:
contact@nkoemaui.org

Nā Keiki O Emalia is a
501(c)(3) nonprofit organization
ID 47-3859477

Helping Children Heal

© Nā Keiki O Emalia 2014-2023 • All rights reserved