Common Bond Institute    
www.cbiworld.org

Volunteer / Intern Form

This form can be copied into an Email to complete and submit by Email
(PLEASE TYPE OR PRINT CLEARLY)

1. NAME    
     Address  
     Phone day (     )                          eve (      )                          Fax (      )               
     E-Mail:                                       Web:                                                                 
     Best Way to reach you:                                                                                                 

      * NOTE: Please first visit our website for a detailed overview of volunteering and
                       interning with Common Bond Institute, including typical tasks incolved,
                       at: www.cbiworld.org/Pages/BecomeInvolved.htm

2. How did you learn of Common Bond Institute?                           

3. Which CBI program(s) are you interested in volunteering for? (see website for list of conferences):
                                                                                                                  

4. What is your availability – including dates available and estimated number of hours per week?
      (If you are more or less available during different dates please clarify):         

5. Do you have:
      Regular access to a computer and the Internet?        
      Your own transportation?        

6. What skills and/or experience do you have that you would like to contribute to volunteering?:
      __________________________________

7. Resource Development: Do you have skills or experience in:
      - Researching grants and funding sources ?       
      - Writing grants and requests for funding ?          
      - Evaluating grant outcomes ?       
      - Planning and organizing fundraising strategies and programs?        
      - Other?                       

8. Technical: Do you have any technical skills or experience in:
      - Using Social Networking sites (Facebook, etc.), including familiarity with creating pages
           and various functions helpful in raising awareness of conferences and promoting public
           dialogue on core issues)?       
      - Website design or management (including blogs, E-conferencing, etc.)?         
      - Data management?        
      - Graphic arts / Desktop Publishing?        
      - Video recording?          
      - Video editing or production (including digital conversion for Internet use)?        
      - Operating basic presentation equipment (LCD projectors, DVD, Laptop, microphones
            and PA systems, etc.)?        
      - Computer programs familiar with:                                                   
      - Other?                                                                                            

9. Promotion and Marketing: Do you have skills or experience in:
      - Developing and implementing publicity programs to raise awareness of efforts?       
      - Networking with organizations and community groups for cooperation?        
      - Working with media outlets?         
      - Developing and implementing marketing strategies?       

10. Do you have experience in Event Organizing and Operations?
       If so, what particular tasks are you experienced with?:
      - Preconference organization: ____________________________
      - On-Site Operations:                                                                       

11. What attracts you to joining our volunteer team? (Including how is the mission and work
       of CBI or the particular program you are interested in assisting with relevant for you):
                                                                                                                 

12 What would you like to gain from your experience volunteering for CBI, personally
       and/or professionally?                                                                        
13. Any additional information you would like to share, or any particular questions you may have?
                                                                                                                

14. Are you interested in a volunteer experience or an internship? (if the latter, have you
        already discussed this with your school or instructor?):                      

Submit form by Email, Fax, or landmail to:

   Common Bond Institute
Details on Voluntering or Interning at: www.cbiworld.org/Pages/BecomeInvolved.htm
Steve Olweean, Director
12170 S. Pine Ayr Drive, Climax, MI 49034 USA  
Ph/Fax: 269-665-9393   Email: SOlweean@aol.com   Website: www.cbiworld.org