Project GIVE is the newest program offered through the
Civic Service Institute
at NAU!
GIVEstands for Get Involved in the Volunteer Experience,
and Project GIVE is seeking to help you do just that!
Based on your SHAPES for Service,
Project GIVE will connect you to your best-fit volunteer and service-learning opportunities in our community
Where you candiscover your life work, build your resume,
find employment that fits you, and make yourself at home while you’re here in Flagstaff.
We are located on South campus in SBS West, on the bottom floor SE corner, room #6.
Or “Like” us on Facebook, “ProjectGIVENAU”
What will you be doing?
Individually, or in groups, we exist to serve you so that you can serve others! Here are some examples of the projects we are working on:
Northland Family Help Center– community education, women’s shelter, youth shelter, and school-based services. Featuring the annual My Fest event downtown.
Arizona’s Children Association– mentoring youth in foster care, scrapbooking lifebooks , giving youth tours of NAU and answering questions about college, luncheon to honor volunteers in the community, story circles, interviews, art projects, etc.
Coconino Coalition for Children and Youth– Child Abuse Prevention activities, community education and prevention, PAWS: Promoting Assets With Sculpture.
Schultz Flood Clean-up w/ Coconino County– Help local residents as they continue to recover from last year’s flooding.
Northstar Youth Ranch- Help clean and care for animals, tutor kids, do 4-H activities, clean/organize/operate a clothing closet for foster families.
Hope Cottage/ Sunshine Rescue Mission- Assist with event planning/implementation, daily operations of facilities, cook meals, visit with residents.
Athlete’s Promise- Help eradicate hunger by partnering with local food banks and other hunger-fighting activities.
Habitat for Humanity- Help run the Re-Store, building and painting projects, and much more!
This is just a sampling of the opportunities available in Flagstaff! Let’s talk about your SHAPES for Service and find your best-fit! ;D
Contact us on facebook at:
Please return this form to Elisabeth Sims at CSI:NAU in SBS West #6, or email to
CSI@NAU Project GIVE
(Get Involved in the Volunteer Experience)
Name: Age: Birthdate: Today’s date:
Current address:
Email: Phone:
Facebook/Twitter/Linked In:
Hometown:
How many hours are you willing to volunteer in the community through Project GIVE (please circle)?
One day project / Long-term placement / 25 hours per semester / 4 hours per week / other
Freshman / Sophomore / Junior / Senior ??
Major/Minor:
Do any of these apply to you (please circle)? Honors student? SBS Student?
Learning community? (Which one?)
Clubs/ Greek/ Extracurricular activities:
I have a current course that requires service hours? Y N
Number and Title of course:How many hours required?
Project GIVE wants to serve you and build your capacity to serve your community and world:
How connected do you feel to the community in Flagstaff?
How can we best help you connect to our community here in Flagstaff?
Do you plan to return to NAU and Flagstaff next year? YN
Why or why not?
In order to make the best match for you, I need to know:
What are your SHAPES for Service???
S- Service
What service have you been involved in previously? What service are you involved in currently? (Location, dates, hours, references?)
______
H- Heart (Passion)
What are you passionate about? (Do you have a heart for serving a particular population or cause?)
- My passion is for people and particularly for people in this stage of life: (i.e. teens, MTV generation, seniors, single moms, Spanish speaking, etc.)
______
- I am passionate about this issue/cause: (i.e. teenage pregnancy, government, justice, etc.)
______
3. I am passionate about: ______
A- Abilities (Talents)
Every person has unique talents, skills, and abilities. These are things that can be developed and honed
through education, training, and experience. What talents, abilities and skills do you have? In what
areas are you confident and competent? (Example: athletics, piano, carpentry, gardening, nursing, etc.)
- ______
- ______
- ______
P- Personality
We relate to others and the world in accordance with our personality. Our differing behaviors and responses reflect our preferences. Our particular preferences determine our personality, or our temperament. You will serve better when your role expresses your unique preferences. Choose your primary personality type.
For more details about the True Colors personality types, please visit our office.
Gold- planner/ structured/ detailedGreen- deep thinking/ curious/ inventive
Orange- fun loving/ big picture/ adventurous Blue- true blue friend/ creative/ authentic
Most people have aspects of another type within their personality. What would you list as your secondary color? ______
Are you more introverted or extroverted? ______
E- Experience
We often have significant life experiences that mold us and equip us to serve others as we learn important life lessons. Please list or explain any such life experiences you’ve had that you feel are relevant to the area of service you’d like to participate in: ______
What is your major? ______
Minor? ______
Areas of study that interest you? ______
Do you have a particular vision that you can share with me of how you already hope to incorporate your learning/ degree into your life work in the community? ______
S- Spirit
What are your spiritual beliefs/ spiritual background? Would you like to be referred to similar groups in Flagstaff?
______
Do you have ideas of service projects that you’d like to see? Please tell me that here.
______
______
University AdvancementNorthern Arizona University(928) 523-2012
PO Box 4094(928) 523-4445 fax
Flagstaff, AZ 86011-4094
PHOTOGRAPHY AND/OR TESTIMONIAL SUBJECT RELEASE FORM
Name ______
(please print)
I hereby grant permission for my photograph(s) and/or testimonial(s) in whole or in part to be used by Northern Arizona University as it sees fit with all rights for use assigned to them. I understand that I will not receive any compensation, now or in the future, for the use of said photograph(s) or quotes.
Date______
Name______
E-mail Address______
Address ______
Phone ______
For Students:
Year in School______
Age______
Major______
Hometown______
Signed ______
Date
VOLUNTEER REGISTRATION FORM
This portion of the form to be completed by the VOLUNTEER: (Please Print, Sign and Date)
VOLUNTEER’S NAME: ______
Mailing Address: ______
City: ______State: ____ Zip Code: _____ Home Phone: ______
**If Volunteer is under 18 years of age, list age and follow instructions on the back of form: ______
1. Have you ever been convicted of, plead guilty or no contest to a crime that has or has not been expunged or removed from your
record? Yes No If yes, please explain (for more information, refer to NAU Human Resources Policy 1.085).
______.
(The University will consider the nature of the offense, relation to the position for which you are applying, time since conviction, and
all other relevant facts and circumstances in determining whether or not to disqualify you from consideration.)
2. Do you have health insurance? Yes No . If yes, please provide the following information:
Medical Insurance Carrier: ______Policy #: ______Expiration Date: ______
I have carefully read the above information and understand its contents. The above information provided by me is accurate.
____________
Volunteer’s SignatureDate
This portion of the form is to be completed by the NAU SUPERVISOR: (Please Print, Sign, and Date)
SUPERVISOR’S NAME: ______Title: ______
Department: ______Box #: ______Work Phone: ______
Date Volunteer will begin volunteer activity: ______Date Volunteer will end volunteer activity: ______
Description of Volunteer’s Authorized Duties: ______
______
1. This Volunteer position is Safety/Security Sensitive: Yes No (for more information, refer to NAU Human Resources Policy 1.085).
2. Will volunteer be authorized to drive a state-owned/rented/leased vehicle on NAU authorized & supervised business?
Yes No
3. If the answer to question 2 is yes, the supervisor shall provide the following information:
Does the volunteer have a valid drivers license? Yes No .
Volunteer’s Driver’s License #: ______State: ______Expiration Date: ______
Volunteer’s Vehicle Insurance Carrier: ______Policy #: ______
Will the volunteer be driving a state-owned, rented, or leased 9 or 12 passenger van for the university? Yes No
If yes, has the volunteer successfully completed the mandatory 9-12 passenger van training course offered by NAU & is certified?
Yes No . Expiration Date of Certification Card: ______.
Does the volunteer have previous experience driving a 9-12 passenger van? Yes No.
Describe: ______
______
Supervisor’s SignatureDate
Distribution List: Send ORIGINAL FORM to Insurance Officer, NAU Property and Liability Insurance Services, Box 4067, Flagstaff AZ 86011
Make COPIES for Supervisor and Volunteer (revised 7/1/09)
LIABILITY COVERAGE: Volunteers are those persons doing work for the State of Arizona, NAU under the direction and control of University officials & are not being paid by anyone for these activities. Liability coverage is extended to volunteers acting at the direction of University officials & within the course and scope of their State authorized activities. Volunteers of the University are provided the same liability protection afforded employees. Thus, volunteers acting within the course and scope of their State authorized activities would be covered for their liability exposure as authorized volunteers of the State and University.
**Volunteers must be 18 years of age or older, unless prior written approval is obtained from NAU Human Resources. If a volunteer is under 18 years of age, written approval from Human Resources must be attached to the Volunteer Registration Form submitted to the Insurance Officer, Property and Liability Insurance Services, Box 4067. Also, a Consent Form must be signed by the Parent or Legal Guardian and submitted to the NAU Property and Liability Insurance Services prior to commencement of activity. Contact the Insurance Officer (928-523-2009) at Property and Liability Insurance Services for more information or a copy of the Consent Form.
WORKERS COMPENSATION COVERAGE: Volunteers are NOT covered by the State’s workers’ compensation plan if injured while participating in this program. Volunteers are strongly encouraged to obtain their own medical insurance before participating in this program.
ACCIDENT, MEDICAL, AND ACCIDENTAL DEATH & DISMEMBERMENT PLAN: Arizona Department of Administration, Risk Management Division has purchased an accident, medical, and accidental death and dismemberment plan for NAU volunteers. This plan is designed to cover registered volunteers while they participate in NAU authorized volunteer activities. The plan will reimburse for eligible expenses, which are not payable by the volunteer’s health care plan or any other insurance plan providing reimbursement for medical expenses. Claim forms can be obtained from NAU Property and Liability Insurance Services (928-523-2009) or on Risk Management Division’s web site at:
Summary of Insurance(Student/Volunteer Accident & Medical Insurance)
Policy (United States Fire Insurance Company – Accident Only Insurance)
Accident Claims Form
SAFETY-SECURITY SENSITIVE POSITIONS: Per NAU Human Resources Personnel Policy #1.085, NAU positions, including volunteer positions, which are considered safety/security sensitive under the defined criteria are subject to certain background/fingerprinting requirements. The following links will assist you in determining whether the position is Safety/Security Sensitive.
Safety/Security Sensitive Position Identification Tool
Policy 1.085 Background Investigation
VOLUNTEERS DRIVING UNIVERSITY OWNED, RENTED, OR LEASED VEHICLES: All NAU volunteer drivers and their NAU supervisor shall complete and return the Volunteer Registration Form prior to driving a university owned, rented, or leased vehicle on NAU approved business. The signed Volunteer Registration Form must be on file with Property and Liability Insurance Services prior to the day of the trip.
VAN TRAINING: Passenger Van training is a requirement for all drivers of 9-12 person state owned, rented, or leased vehicles by Arizona Administrative Code Title 2, Chapter 10, R2-10-207.12.e. NAU Transportation Service Center (TSC) offers a behind the wheel skills course to all potential drivers of university owned, rented, or leased vans. Please contact TSC 523-2469 for more information.