Cross Cultures Volunteers Sign-Up Form 义工报名表
Please fill out this form if you are interested to join Cross Cultures.
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A. Basic Information 义工个人资料
Preferred English Name (First + Last) 英文姓名 *
Chinese Name (If Applicable) 中文姓名 *
Gender 性别 *
Year of Graduation 高中毕业的年份 *
School 就读学校 *
State 学校所在州 *
Mobile Number 移动电话号码 *
WeChat ID 微信号 *
Email Address 电子邮箱 *
B. Language Fluency 语言流利度
Native: you grown up speaking the language and have honed in on your ability to communicate with it through formal education.
Fluent: you can read, write, and speak a language fluidly and without hesitation.
Proficient: you can speak, write, and read a language without much difficulty at all.
Intermediate: you can hold conversations in the language and have adequate reading proficiency.
Beginner: you’re starting to learn the language
N/A: you don't plan to learn the language
Mandarin 普通话 *
Regional Dialects 中文地区语言 (例: 粤语, native; 上海话, fluent) *
English *
Spanish *
Other Language(s) 其他语言 (ex: Korean, Fluent; Japanese, Beginner)
C. Parental Consent 义工家长或监护人资料
All volunteers under 18 must inform their parent or guardian of their decision to join Cross Cultures, have their parent/guardian read and agree to the following statement, and ask them to provide their name and contact to validate their consent.
所有学生义工必须向家长或监护人说明参与Cross Cultures义工队伍的决定,并必须让他们阅读以下声明并且表示同意,然后通过提供他们的姓名和联系方式以表示证实他们的同意真实无诈。
I am the parent/guardian of the registrant of this form. I hereby authorize the registrant to participate in Cross Cultures, and confirm that he/she has the physical and mental conditions required. I will be responsible for all the risks involved in and the consequences from his/her participation, and promise that all personal, property and mental damages incurred will not be held accountable by the event organizer. 本人乃此表格登记人的家长/监护人,同意让其参与Cross Cultures义工服务,并确认其有充分的身体和心理条件,对活动中的一切风险及导致的各种后果均会负责和承担,并承诺在活动中发生的一切有关其人身、财产和精神的损失均不会向活动组织者追究法律上的责任。 *
Name of Parent/Gurdian 家长姓名 *
Mobile Number of Parent/Guardian 家长电话号码 *
WeChat ID of Parent/Guardian家长微信号 *
Email Address of Parent/Guardian家长电子邮箱 *
D. Work Interests 工作兴趣范围
Please Check All Areas of Interests 请勾选你感兴趣的兴趣范围(可多选) *
Required
Additional Comments 对工作选择的备注或建议
E. Referrals 信息来源
How Did You Learn About Cross Cultures (Check All that Apply)? 从哪里得知Cross Culture (可多选) ? *
Required
If You Learned About Cross Cultures Online, Please Specify The Web Address 如通过社交媒体/网页,请写名称
If You Are Referred By Someone, List Their Name(s) Here 如有介绍人,请提供其姓名
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