2010-2011 Chapter Chapter Volunteer Application

Important Instructions

Please be sure to save your responses in a document on your computer to avoid losing your work.
The online courses and other material are the foundation for your Unite For Sight experience, and reading the material carefully is necessary to train you in effective programming so that you can make a significant impact. Untrained students would cause harm in the community by propagating false information about eye health, interfering with proper healthcare delivery, and not following Unite For Sight's important chapter policies and procedures. Be sure that your short essays indicate that you read and understood the video and online courses so that Unite For Sight can approve your participation as a volunteer for the organization.
Your training application will be reviewed by Unite For Sight before a decision for approval is made. Incomplete applications will be rejected.
You must complete the training independently, fully, and honestly, and your application must be your own work. We have a fraud detection system. If your submission resembles or plagiarizes the work of any other student, your application will be permanently rejected, and you will not be approved to participate in any capacity with Unite For Sight.
Unite For Sight does not permit applicants to share their applications. Any applicant who shares their application will be disqualified and terminated from participation with Unite For Sight.

2-Step Training Process

Read the online courses and complete the other training material. Submit summaries as instructed on this form (step #1)
Contact Emily Lin (elin@uniteforsight.org) in order to set up a 5-10 minute phone interview that is necessary to confirm your understanding of all of the training material, including information about eye health and Unite For Sight policies and procedures. This is step #2.
Upon successfully completing steps #1 and #2, you will be approved as a Unite For Sight Chapter Volunteer.

Join Unite For Sight's Facebook Group at http://www.facebook.com/uniteforsight

Section I

*First Name and Middle Initial:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email:
*Confirm Email:
*Country:
*Telephone:
*Birth Date:
*Age:
*Gender:
*Chapter:
Position (If you were assigned by your chapter to an officer position, please select the position from this menu. If you are not an officer, please select "Volunteer"):
*Password:
*Confirm Password:

Section II: Short Essays

This application provides an opportunity for you to learn about Unite For Sight, public health, and eye care. Please be thorough, but succinct. Unite For Sight staff reads every registration application, so be sure to submit quality responses that confirm that you have watched the videos and read the courses. A decision on your application will be made within 2 days. If your application is accepted, you will receive an approval notification upon your successful completion of all of the application and training materials. If your application is denied, you will be sent an email notification.

1. Carefully review the 2009-2010 Chapter Manual and discuss details in each module that you feel will be helpful when you volunteer with your chapter of Unite For Sight. Please clearly label each of your responses with the module number. For example, "MODULE 1: ....", "MODULE 2: ...." Importance of this manual: The Chapter Manual contains all important logistical details, policies,and procedures for Unite For Sight chapters. It is important for you to be familiar with all of the details included in this manual. It is especially important for you to be familiar with the qualifications that enable a community member to qualify for each of the free health coverage programs. Connecting the community members with the free health coverage programs is the most important part of the community-based programs.
2. Volunteer Ethics and Professionalism Online Course Please write a 1-paragraph summary for each module and focus on details that are most important to your preparation for volunteering with your chapter this academic year. Please clearly label each of your responses with the module number. For example, "MODULE 1: ....", "MODULE 2: ....". Importance of this course: Unprofessional behavior can be a significant problem when volunteering in the community. Any unprofessional conduct reflects poorly on you and your chapter, on your university, and on Unite For Sight, and can harm local health care programs and relationships. The details of this course must remain at the forefront of your mind.
3. Cultural Competency Online Course Please write a 1-paragraph summary for each of the six modules and focus on details that are most important to your volunteering. Please clearly label each of your responses with the module number. For example, "MODULE 1: ....", "MODULE 2: ...." Importance of this course: Cultural competency training and cultural awareness is of paramount importance for those working in a community setting. You must understand language barriers, how to work with translators, cultural differences and cultural understanding.
4. Please view the Eye Health Video For Teachers. Unite For Sight chapter volunteers train school teachers and administrators about the importance of regular eye exams by eye doctors for their students. It is important that you utilize the information in this video to encourage school staff and administrators to ensure that their K-12 students receive regular eye exams by eye doctors. Importance of this video:You will apply the information in this video to empower schools to eliminate preventable blindness among their students.
5. Please view the Community Center Training Video. Unite For Sight chapter volunteers train community center staff to connect their clients with free health coverage programs. Importance of this video:This video will provide you with important information about how to implement this program to eliminate preventable blindness in your community.
6. Please watch Unite For Sight Visual Acuity Screening Training Video and type comprehensive notes as you watch the video. Importance of this video: This video provides details about the steps for a visual acuity screening program Be mindful that the most important part of the vision screening program is NOT the visual acuity screening, but instead the opportunity to connect the community member with free health coverage programs.
7. Please watch Matching Community Members With Free Health Coverage Programs. This video discusses the most important part of any vision screening program: connecting community members with free health coverage programs. Please type comprehensive notes as you watch the video.
8. Eye Health Online Course Please write a 1-paragraph summary about each of the modules of this course.
9. Please watch "Unite For Sight in Ghana" and discuss details that you feel will be helpful when you volunteer with your chapter of Unite For Sight. Importance of this film: Unite For Sight Community Fellows fundraise with their chapters, and 100% of all funds raised provide eye care to patients living in extreme poverty in developing countries. This film introduces you to Unite For Sight's global programs and shows the significant impact of all of your fundraising.
10. Please watch the 5-minute Fundraising Toolkit Video and discuss details that you feel will be helpful to your chapter fundraising activities. For additional details and sample fundraising emails and messages, please review the Chapter Fundraising Toolkit. Importance of this toolkit: All Community Fellows are involved with chapter fundraising. This toolkit provides comprehensive details and guidance for fundraising. Each chapter is required to fundraise both with their online fundraising page and through on-campus fundraising activities.

Declaration

I understand that in order to become a Unite For Sight Chapter Volunteer, I am required to submit a $20 donation at the time that the application is submitted. The $20 donation is equivalent to a $1.66 commitment per month to provide eye care to patients living in extreme poverty. I have read and accept the above declarations.

*Name (Signature):
*Date:


	* denotes required field

2010-2011 Chapter Chapter Volunteer Application

Important Instructions

2-Step Training Process

Section I

Section II: Short Essays

Chapter Login