Help Us to Build a Strong Foundation-- Apply to Volunteer Today! Full Name * First and last name, please Please check the box for your age range. Volunteers under the age of 18 are welcome but do require a permission form signed by a legal guardian. Under 18 18-24 25-34 35-44 45-54 55-64 65 or Above If under the age of 18, please enter the name of a parent or legal guardian. He/she will need to co-sign the volunteer agreement. * (If over the age of 18, write "not applicable") Email Address * Country of Residence * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba 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 Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo 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 French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat 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 South Sudan Spain Sri Lanka Sudan 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 (Select the country that you live in) Address * (Street address, city, state, zip) Daytime Phone Number * (Please indicate if this is work/home/cell) Evening Phone Number * (Please indicate if this is work/home/cell) Do you have any friends or relatives who are currently working with The FPIES Foundation? * Yes No I am applying for the position of: (If you are applying for a specific role, please type above) I am interested in. . . * Online Volunteering Volunteering at Local Events and Activities (Currently MN and MA only) Project volunteering (1:1 and specific project endeavors with/for The FPIES Foundation) Volunteering with the Board of Directors (experience required) Please tell us what area(s) you are interested in helping out! Please indicate days/times you are available for volunteering. Check all that apply. * Monday, daytime Monday, evening Tuesday, daytime Tuesday, evening Wednesday, daytime Wednesday, evening Thursday, daytime Thursday, evening Friday, daytime Friday, evening Saturday, daytime Saturday, evening Sunday, daytime Sunday, evening Please tell us about yourself, being sure to mention special skills that you feel could help your work with The FPIES Foundation. You may copy and paste a resume here, or feel free to email an attachment to contact@thefpiesfoundation.org. * Please list two people, not related to you, who have knowledge of your qualifications. Please include their contact information. * (You are welcome to provide more than two references if desired.) Professional and personal experiences that you’d like to share/are applicable to the position: (Organization/Company) Professional/ Personal Experience #1 (Job Title/ Duties) Professional/Personal Experience #1 (Dates Employed) May we contact this employer? Yes No Professional and personal experiences that you’d like to share/are applicable to the position: (Organization/Company) Professional/ Personal Experience #2 (Job Title/ Duties) Professional/ Personal Experience #2 (Dates Employed) May we contact this employer? Yes No Have you ever been judged civilly or criminally liable for abuse of an individual with disabilities? * Yes No (If yes, please explain in the box below) If you have ever been judged civilly or criminally liable for abuse of an individual with disabilities, please explain here: If you require accommodations in order to work as a volunteer, please explain: How did you learn about volunteering with The FPIES Foundation? I certify that my answers on this application are true and complete and that I have not knowingly withheld any information that might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application could be cause for rejection of this application or dismissal. I hereby Release and Waive liability against The FPIES Foundation, a 501c3 non-profit corporation, its directors, officers, any employees and agents, its successors and assigns, for any injuries or illness that I myself or my dependent may suffer in connection with any volunteer work for The FPIES Foundation. I understand that after I submit my application, it will be reviewed and my eligibility for volunteer work will be determined. I agree to an interview with the Board of Directors and will receive The FPIES Foundation orientation packet and materials to perform my volunteer role. * I agree with the statement above. By checking this box, I am electronically signing this application. reCAPTCHA (Please let us know that you are not a robot!) If you are human, leave this field blank.