high school internship app

8/6/2019 High School Internship App

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AADP High School Internship Program Policy

AADP Aims and PrinciplesThe Asian American Donor Program (AADP) is a community non-profit (501c3)organization dedicated to helping save the lives of patients with life threatening blooddiseases curable by a stem cell transplant. AADP is an official recruitment group of theNational Marrow Donor Program (NMDP) specializing in conducting outreach and donor drives in the Asian, Pacific Islander, Latino and Multi-racial communities.

Because there are so few registered minority donors, the odds of a minority patientsurviving a blood cancer, like leukemia, are extremely low. Our goal is to increase thisdonor pool, by holding marrow/stem cell drives to recruit more minority donors so that

every patient searching for an unrelated donor will find a match.

Internship Overview AADP is offering a non-paid internship for high school students to assist in therecruitment of potential stem cell donors and work on office-related tasks. Interns willget the opportunity to become part of a dynamic, enthusiastic and supportive teamcommitted to saving lives.

ResponsibilitiesInterns will be formally trained to assist AADP staff on the following tasks:•

Design outreach material• Update the AADP website• Assemble test kits• Perform other administrative tasks as necessary• Previous experience with video producing/editing software a plus.

Benefits• Have the unique opportunity to help save lives• Gain valuable work experience• Learn about the operations of a non-profit organization• Develop interpersonal, speaking, writing and technical skills•

Attend special events• Gain multi-cultural competency and familiarity with the Asian/Pacific Islander communities

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Desired Qualifications• Excellent communication and writing skills• Proficient PC computer skills (MS Word, Excel, PowerPoint, search engines, etc.)• Detail oriented and organized• Ability to exercise flexibility, creativity and work independently• Enthusiastic and willingness to learn• Fluency in a 2nd language is a plus Requirements• Time : Internship will last at least 90 days with a minimum commitment of 2-4 hours

per week during regular AADP office hours (Mondays-Fridays 9-5pm). Interns arealso required to participate in at least 2 donor drives during his/her internship.

• Age : Minimum age requirement is 14 years old• Education : High school student with a minimum GPA of 2.5• Transportation : Interns must have transportation to and from the AADP office, as

well as recruitment drives.

*It is also required that all interns maintain a professional and mature relationship withall AADP staff members, fellow volunteers, and anyone else that may be associatedwith AADP.

AADP Contact InformationFor more information, please contact our Volunteer Services Coordinator–James Arthur C. de LaraAsian American Donor Program2169 Harbor Bay ParkwayAlameda, CA 94502

[email protected], fax 510-568-2700

Confidentiality Volunteers are required to keep confidential all individually identifying donor and patientinformation encountered while volunteering for the AADP. Volunteers may use suchconfidential information only in a manner consistent with and necessary for thecompletion of their defined volunteer duties. Volunteers are strictly prohibited fromdisclosing confidential information to any person other than AADP staff.

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Are you Bilingual? ___No ___Yes If yes, language spoken __________________

How did you hear about the Asian American Donor Program?

Why are you interested in becoming an intern?

Availability

When are you available to intern? NOTE: The program lasts 90 days with a minimum commitment of 2-4 hours

per week. Interns can schedule to work anytime between AADP’s office hours of 9AM – 5PM. Internship can beextended based upon intern’s request and AADP’s needs.

___Sunday ___ mornings ___ afternoons ___ evenings

___Monday ___ mornings ___ afternoons ___ evenings

___Tuesday ___ mornings ___ afternoons ___ evenings

___Wednesday ___ mornings ___ afternoons ___ evenings

___Thursday ___ mornings ___ afternoons ___ evenings

___Friday ___ mornings ___ afternoons ___ evenings

___Saturday ___ mornings ___ afternoons ___ evenings

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, that may be useful in the internship program (e.g. word processing, web design, publicspeaking, etc.)

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Person to Notify in Case of Emergency

Name

Street Address

City State ZIP Code

Home Phone

Work Phone

E-Mail Address

Confidentiality Policy

Interns are required to keep confidential all individually identifying donor and patient informationencountered while volunteering for AADP. Interns may use such confidential information only in amanner consistent with and necessary for the completion of their defined duties at AADP. Interns arestrictly prohibited from disclosing confidential information to any person who does not have a legitimatebusiness or legal need to know. All interns must sign the confidentiality agreement below. A copy will bemaintained by the AADP Volunteer Services Coordinator.

Failure to maintain confidentiality may result in termination of the intern’s relationship with AADP or other corrective action, including the possibility of legal action.

Agreement and Signature

I have read the above Confidentiality Policy, I understand it, and I agree to abide by its terms. I understand thatfailure to comply with the Confidentiality Policy may result in termination of my relationship with AADP or other corrective action, including the possibility of legal action.

In addition, by my signature below, I affirm that the information set forth in this application are true and complete. Iunderstand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentationsmade by me on this application may result in immediate dismissal from the volunteer program.

Name (printed)

Signature

AADP Coordinator Signature

Date

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Parental/Guardian Authorization

Please accept this as authorization for my minor child (under age 18) to serve as an intern for the AsianAmerican Donor Program.

I understand that my child, named below wishes to be considered for the internship program describedand I hereby give my permission for him/her to serve in that capacity. I understand that he/she will beprovided with orientation and training necessary to assist in the performance of the internship duties and

that he/she will be expected to meet all of the requirements of the position. I understand that he/she willnot receive monetary compensation for the services contributed. I understand that the Asian AmericanDonor Program holds no responsibility if he/she should sustain an injury or illness arising in the courseand scope of his/her internship.

By signing, I also acknowledge that this consent gives my child/teen permission to be transported byAADP staff on trips necessary to the internship program.

________________________________ _________________________Child’s First & Last Name Parent/Legal Guardian’s First & LastName

________________________________ _____________________________Parent/Legal Guardian’s Signature Parent/Legal Guardian’s Phone Number

______________________________________________________________________ Parent/Legal Guardian’s Street Address

________________________________ ____________________ ________________ City State Zip

AADP Policy

The Asian American Donor Program provides equal opportunities without regard to race, color, religion, nationalorigin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in interning with us.

Return completed form (pages 3 to 6) to:Asian American Donor Program

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2169 Harbor Bay ParkwayAlameda, CA 94502

510-568-3700 ext. 101Fax: 510-568-2700

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