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AADP Aims and Principles
The Asian American Donor Program (AADP) is a community non-profit (501c3) organization dedicated to helping save the lives of patients with life threatening blood diseases curable by a stem cell transplant. AADP is an official recruitment group of the National 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 patient surviving a blood cancer, like leukemia, are extremely low. Our goal is to increase this donor 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.
AADP is offering a non-paid internship for high school students to assist in the recruitment of potential stem cell donors and work on office-related tasks. Interns will get the opportunity to become part of a dynamic, enthusiastic and supportive team committed to saving lives.
Interns 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.
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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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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
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 are also 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 with all AADP staff members, fellow volunteers, and anyone else that may be associated with AADP.
AADP Contact Information
For more information, please contact our Volunteer Services Coordinator– James Arthur C. de Lara Asian American Donor Program 2169 Harbor Bay Parkway Alameda, CA 94502 firstname.lastname@example.org 510-568-3700, fax 510-568-2700
Volunteers are required to keep confidential all individually identifying donor and patient information encountered while volunteering for the AADP. Volunteers may use such confidential information only in a manner consistent with and necessary for the completion of their defined volunteer duties. Volunteers are strictly prohibited from disclosing confidential information to any person other than AADP staff.
Failure to maintain confidentiality may result in termination of the volunteer’s relationship with AADP or other corrective action, including the possibility of legal action. All volunteers must sign the confidentiality agreement. A copy will be maintained by the AADP Volunteer Services Coordinator.
High School Internship Application
Thank you for your interest in joining the AADP internship program. Please complete this form as a part of the application process. You will be contacted by the Volunteer Services Coordinator with more details if you are selected for the program. Contact Information
Name: Age: Home Address: City: Home Ph: ( ) State: Home Fax: ( ) Zip: Birth Date: Sex: Date:
*(This information may be used to send letters of recognition for your volunteer work with AADP) Company or School:* Street Address: City: Occupation: Work Ph: ( Cell Ph: ( E-mail: ) NOTE: Most intern communication will be via email. Your e-mail will not be used for any other purposes without approval. ) Work Fax: ( ) State: Zip:
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?
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 be extended based upon intern’s request and AADP’s needs. ___Sunday ___Monday ___Tuesday ___Wednesday ___Thursday ___Friday ___Saturday ___ mornings ___ afternoons ___ evenings ___ mornings ___ afternoons ___ evenings ___ mornings ___ afternoons ___ evenings ___ mornings ___ afternoons ___ evenings ___ mornings ___ afternoons ___ evenings ___ mornings ___ afternoons ___ evenings ___ 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, public speaking, etc.)
Person to Notify in Case of Emergency
Name Street Address City State ZIP Code Home Phone Work Phone E-Mail Address
Interns are required to keep confidential all individually identifying donor and patient information encountered while volunteering for AADP. Interns may use such confidential information only in a manner consistent with and necessary for the completion of their defined duties at AADP. Interns are strictly prohibited from disclosing confidential information to any person who does not have a legitimate business or legal need to know. All interns must sign the confidentiality agreement below. A copy will be maintained 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 that failure 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. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in immediate dismissal from the volunteer program.
Name (printed) Signature AADP Coordinator Signature Date
Please accept this as authorization for my minor child (under age 18) to serve as an intern for the Asian American Donor Program. I understand that my child, named below wishes to be considered for the internship program described and I hereby give my permission for him/her to serve in that capacity. I understand that he/she will be provided 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 will not receive monetary compensation for the services contributed. I understand that the Asian American Donor Program holds no responsibility if he/she should sustain an injury or illness arising in the course and scope of his/her internship. By signing, I also acknowledge that this consent gives my child/teen permission to be transported by AADP staff on trips necessary to the internship program. ________________________________ Child’s First & Last Name Name ________________________________ Parent/Legal Guardian’s Signature ___________________________________ Parent/Legal Guardian’s First & Last
_____________________________________ Parent/Legal Guardian’s Phone Number
______________________________________________________________________ Parent/Legal Guardian’s Street Address ________________________________ ____________________ ________________ City State Zip
The Asian American Donor Program provides equal opportunities without regard to race, color, religion, national origin, 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
2169 Harbor Bay Parkway Alameda, CA 94502 510-568-3700 ext. 101 Fax: 510-568-2700
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