Light for Life Initiatives Inc.
California Nonprofit Public Benefit Corporation41669 Gifford Street, Fremont, CA 94538lightforlifeinc@gmail.com · EIN 99-2922135
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Complete, sign, and return this together with the documents listed in section 5. We will then send you the service confirmation letter to sign. Nothing you type here is sent anywhere — this page runs entirely in your browser, so print it or save it as a PDF when you are done.
Everyone is welcome to volunteer with us regardless of citizenship or immigration status. We ask only so that we can make sure the role fits any conditions that apply to you.
Which best describes you?
If you hold a document that authorises or conditions your activities in the U.S. — for example an EAD, I-20, DS-2019, or I-797 approval notice — give its details. If none of this applies to you, leave it blank.
Answer each question. If you answer yes to any, add the details below. A yes answer does not disqualify you — we simply need it on record.
a. Have you ever received money, a grant, a scholarship, or any other assistance from Light for Life Initiatives Inc.?
b. Are you related to, or a member of the household of, any officer, director or major donor of the organization?
c. Do you expect to receive any payment, benefit, or future paid employment in return for this volunteer service?
d. Does your immigration status place any condition or restriction on the activities you may perform?
Copies are kept confidentially in our volunteer file and are used only to confirm your identity and any conditions on your role.
Signature
Date
When you are finished, print this page or save it as a PDF, then email it to lightforlifeinc@gmail.com with your attachments.