Empowering Caregivers™ logo with Choices - Healing - Love

Top Navigation - Site Map - Messageboard - Chat - Resources - NewsletterNewsletterResourcesChat - Community pageMessageboard Community pageSitemap

Chat
click here to see the chat Scheduleclick here to visit the Community room

click here to visit the Chat Room

Chat Host Application Form

The Empowering Caregivers Site is looking for hosts who would like to lead chats in all topical areas which apply to caregiving. We would like heartful, compassionate, and outgoing individuals who can devote at least two hours of their time each week to host. It is important that you have hands on caregiving experience as a family caregiver or knowledge and expertise in your topic of choice for hosting. Hopefully you will have chat experience, be a good typist and have enough caregiving background or expertise in the area you would like to act as a host for. It is important that you are familiar with our site, our mission and our software. We will help you to formulate your chat so that you may grow with us.

Our goal is to create a safe, supportive, nurturing comfort zone for all Caregivers.

TERMS OF VOLUNTEER HOSTING AT THE EMPOWERING CAREGIVERS SITE AKA CARE-GIVERS.COM

1. If necessary, Empowering Caregivers will provide training and supervision.
2. Staff meetings will be held occassionally and we will require your participation.
3. All information involving the Empowering Caregivers site, their forums and chats are confidential.
4. You must present yourself in a professional manner at all times and respect internet etiquette.
5. You will need to keep records of your time, incidents in the chat as well as info on each chat.
6. You will be responsible for keeping up-to-date on all staff policies and procedures.

------PLEASE COMPLETE THE FORM BELOW AND SUBMIT--------


Confidentiality shall be maintained for all information. Empowering Caregivers aka care-givers.com, will use this information to process the application. To participate as a team member, it is important that you keep all information involving your participation in total confidentiality.

1. First name:
2. Last name:
3. Your email address:
4. Your screen name:
(This is the screen name you expect to use for all correspondence with our team.)

Yes No
5. Are you at least 18 years of age?
Male Female
6. Please check one.....
7.Profession:

8. Where did you hear about Empowering Caregivers?



9. What has drawn you to Empowering Caregivers?



10. Why do you wish to be an Empowering Caregivers volunteer:?



11. Tell us a little about yourself, your experience as a caregiver and how you would like to contribute.



12. What has your chat experience been so far?



13. Have you ever hosted a chat(s) before. If so, where?



14. Are there any weekly topics for chats, you would like to see added to the site?



15. Time zone where you live:
16. The state/country are you from:

17. What day(s) and time(s) would you like to host?

18. What computer(s) do you have?:


19. What operating system and what broswers do you use?




20. Local telephone access to an ISP connection is a requirement for all volunteers, do you have a reliable local access number?

Yes No

Computer Experience - please answer yes or no to the following:
Yes No
21. Do you know how to cut and paste?:
22. Do you know how to upload/download files.
23. Do you know how to unzip (PC) or unstuff (Mac) files?:





24. Please provide two personal or professional references
First Reference
Screen name
Email
Relationship
Second Reference
Screen name
E-mail:
Relationship:



25. I hereby attest that the above information is true to the best of my knowledge.

Screen name:
Today's date:



We look forward to having you participate in the Empowering Caregivers Family. Thank you.
click here to see the chat Scheduleclick here to visit the Community room

click here to visit the Chat Room
© Copyright 1998 - 2009 by Gail R. Mitchell.









Top Navigation - Site Map - Messageboard - Chat - Resources - NewsletterNewsletterResourcesChat - Community pageMessageboard Community pageSitemap

EMPOWERING CAREGIVERS™ is trademarked. All Information on this website is owned by Gail R. Mitchell. This includes but is not limited to the journal exercises, Newsletters and original articles, etc. Permission must be obtained from Gail R. Mitchell for any external use of this material.
© by G.R. Mitchell