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If yes, please explain. * Have you ever been convicted of a felony? If yes, please explain the nature of the crime and the date of the conviction and disposition. * Please list TWO (2) professional and/or educational (i.e. professors, counselors, mentors, etc.) and ONE (1) personal reference to include: contact phone number; email address. * Groups, Clubs and Affiliations: Please list any groups or clubs you may be affiliated with while volunteering. Volunteer Certifications Describe any previous volunteer experience. * Describe any previous volunteer experience working with individuals who are blind or visually impaired. * Volunteer Preferences For the next few questions, please select all options that apply by using ctr/cmd+click. If you encounter any technical difficulties, please use the text box provided at the end of this section to type in your responses. Skills/Interests: Please select (ctr/cmd+click) any and all skills of interest and experience. This will make for the most seamless volunteer project matching possible. * AccountingArts and craftsAssistive TechnologyCarpentryChild CareComputer TrainingComputer usageCookingData EntryDesktop publishingDriver-TransportationEducational TrainingElectricianEmployment & HREvent PlanningGardeningGeneral HelpGrant WritingGraphic ArtsHandyman - GeneralHealth-WellnessLandscapingLeadershipLegalManagementManual laborMarketingMultimediaMusicPerforming ArtsPhotographyPlumberProgram FacilitationProject ManagementPublic RelationsSports-FitnessVideographyVoice-OverWebsite DesignWebsite DevelopmentWriting-Poetry What languages do you speak? Please select all applicable (ctr/cmd+click). We are fortunate to have students from all different backgrounds request volunteers. This will help in matching you with someone who prefers to speak in a language other than English or who speaks more than one language. * ArabicASLCantoneseCzechDanishDutchEnglishFrenchGermanGreekHaitian CreoleHindiHmongHungarianItalianJapaneseKoreanMalay/IndonesianMandarinNorwegianNepaliPersianPolishPortuguesePunjabiRomanianRussianSomaliSpanishSudaneseSwedishTagalogThaiTurkishUkrainianVietnameseOther Schedule Preferences: Please select all (ctr/cmd+click) preferred days and times you would typically be available to volunteer. * Mon - MorningMon - AfternoonMon - EveningTue - MorningTue - AfternoonTue - EveningWed - MorningWed - AfternoonWed - EveningThu - MorningThu - AfternoonThu - EveningFri - MorningFri - AfternoonFri - EveningSat - MorningSat - AfternoonSat - EveningSun - MorningSun - AfternoonSun - Evening Distance Willing to Travel: Please select all areas you are willing to travel (ctr/cmd+click). This is especially important for those interested in becoming a Personal Services Volunteer (PSV) and/or Fitness Partner. * San FranciscoPeninsulaMarinEast BayNapa On Call for Special Events and General Help: Would you like to be placed on our volunteer on-call list for special events and general help? * --None--YesNo Do you have a valid California drivers license? * --None--YesNo Let's keep in touch! We LOVE keeping our wonderful volunteers in the loop with the news, opportunities and exciting developments at the LightHouse!So tell us, are you an eNews fan (via email) or a Quarterly Print Newsletter fan?Alternative formats are available! Please review the options below and choose (ctr/cmd+click) as many as you wish. eNewsMonthly Youth eNewsletterWeekly Events Email Anything additional you would like us to know about you? Demographic Information This information is collected and used for Affirmative Action quarterly and yearly reporting purposes only. If you choose not to disclose some of this information, simply select 'Declined' from among the drop-down options. Thank you! Highest level of education completed * --None--No Formal SchoolingElementary (grades 1 - 8)Secondary, no high school diploma (grades 9 - 12)High School or Equivalency CertificatePost Secondary Education/Some CollegeBachelors DegreeMasters Degree or HigherDid Not Report Ethnicity * --None--AfricanAfrican AmericanAlaska NativeAsian OtherCambodianCaucasianChineseEastern EuropeanFilipinoJapaneseKoreanLaotianLatinoMiddle EasternNative AmericanPacific IslanderVietnameseMulti-EthnicOtherDeclined Gender * --None--MaleFemaleOtherDeclined Do you have a disability?* * --None--YesNoDeclined What is your level of vision?** * --None--Legally BlindSevere Visual ImpairmentTotally BlindSightedDeclined Are you over the age of 55? * --None--YesNoDeclined Are you a veteran?*** * --None--YesNoDeclined * Under the ADA Amendments Act of 2008, a disability is defined as: (1) a physical or mental impairment that substantially limits a major life activity; or (2) a record of a physical or mental impairment that substantially limited a major life activity; or (3) an actual or perceived impairment.** Legal blindness is a level of vision loss that has been legally defined to determine eligibility for benefits. The clinical diagnosis refers to a central visual acuity of 20/200 or less in the better eye with the best possible correction, and/or a visual field of 20 degrees or less.*** A veteran is a person who served in the active military, naval, or air service, and who was discharged or released there from conditions other than dishonorable.