I BELIEVE IN THE RIGHTS OF IMMIGRANTS AND WISH TO PROTECT THEM!

Name

Address (Street, City, Zip)

Phone (Day) (Evening)

email

Are you currently in school? (please state name and program)

Is this volunteer work a requirement for school credit?

What is the highest level of your education?

School Degree

Briefly state why you would like to volunteer with MIRA:

Please mark your interest and skills for involvement below.

ISSUES

Drug testing
Racial Justice
Immigration
Student Rights/Education
Worker's Rights

Other

SKILLS/AREAS OF INVOLVEMENT

Office Staff/Clerical
Public Education
Computer
Lobbying
Paralegal Complaint Review
Fundraising/Finance
Law Student (Year:1st 2nd 3rd)
Litigation First Chair Second Chair
Research Consultation Investigation
Other

I am interested in the following types of involvement:

Being available to answer questions
Serving on a Committee/Task Force
Writing informational pamphlets
Evaluating the merits of a client's case
Speaking to groups about Immigrants' Rights
Other

Availability: Days/Hours

Length of Commitment 3 months 6 months 12 months

Employment History:

1. Most Recent or Current Employer:

Start Date to

Position:

Supervisor:  

Address:

Phone:

2. Previous Employer:

Start Date to

Position:

Supervisor:

Address:

Phone:

Volunteer Experience:
(Please include agency, address, phone number, supervisor and area of service)

1

2

VOLUNTEER AGREEMENT
Recognizing the importance of defending the rights of Immigrants as embodied therein, I agree to volunteer for the Mississippi Immigrants' Rights Alliance. The types of work covered and times that I will generally commit to are as noted on this form.

Furthermore, I agree to:

1. Become a member of MIRA if not already. After I have joined and assisted as a volunteer for a year, MIRA will renew my membership upon receipt of my renewal form.
2. Serve at the pleasure of the Executive Director and take direction from same or a designated representative.
3. Keep all sensitive information such as complaints, membership in the MIRA and demographic data related thereto and similarly situated items confidential.
4. Leave all material in the office unless specifically authorized in writing to remove same by the Executive Director.
5. Notify the Executive Director or the designated representative if my commitment level changes or if an emergency comes up that prevents my attendance as committed.
6. Close down and secure the office if alone or in charge to finish a task in staff absence.