CCIS New Volunteer's Membership Form for Academic Year 2017–2018

Important! Once you have completed this new member form, click on "Enter the data" only one time. It may take a minute or so for you to get a confirmation email that your information has been entered, so please be patient. If you click a second time, your data may not be processed, or it might make a duplicate record for you in our files, which someone has to fix manually.

You will get a copy of your member record, by email, after you submit your information. You will also receive an email with your new membership key code, which enables you to change this information whenever you like. Please check your membership information to be sure it is correct. If you need any changes, you can reply to the confirmation email describing your corrections (or you can use your key code to edit the data yourself).

If you do not receive a confirming email, contact Member Services at: MemberServices@CCISStanfordU.org.
Your Last name First name
(& middle/initials if used)
Spouse/Partner First
(& middle/initials if used)
Spouse/Partner Last
(only if different!)
Greeting you prefer to
follow the word 'Dear'
  Dear ,
Street Address City State ZIP
Telephone Home number
e.g. 650-999-8888
 
Mobile number
Work number
e.g. 408-999-7777x1234
 
Email Address
 
Volunteer Opportunities
Continuing Activities
ENGLISH in ACTION   Meet once a week with an international graduate student, visiting scholar, post doc, or a spouse, for one hour of casual English conversation and cultural exchange. If you volunteer for this activity, please complete Member Profile Information Item #7 and Item #8 below.
HOSPITALITY   Meet socially with an international at least 4 times a year for friendship, cultural sharing, holiday celebrations, or other activities of mutual interest. This is not an overnight program, and in-home meetings are not required. If you volunteer for this activity, please complete Member Profile Information Item #7 on this form.
LOAN CLOSET   Serve as a helper to incoming students who borrow household items from the Loan Closet located on the Stanford campus. Activity is mainly Sept/Oct. The Loan Closet welcomes donations (such as toasters, rice cookers, coffee pots, desk lamps, microwave ovens) throughout the year. Email: loancloset@CCISStanfordU.org
EVENTS   Assist with any of the following: publicity, decorations, refreshments, greeting guests, and/or clean up, once per academic term for volunteers, internationals, and community members at the Bechtel International Center.
TEACH AN ENGLISH CLASS   Teach, or be a substitute teacher, for a weekly 90-minute class at the Bechtel Int'l Center. Please complete Member Profile Information Item #4 on this form.
FRIDAY COFFEES   Help welcome spouses & families at this weekly social event held from 10 to 12 on Fridays.
Short-Term Volunteer Activities
HOMESTAY   Host an international graduate student (or couple) overnight in your home for 3–5 days before the fall opening of Stanford student housing. International applicants to this program have not been in the USA before their Stanford arrival. Homestay is the "welcoming" American experience that sets a positive memory for a new student's life.
COMMUNITY ADVISORS   Welcome newly arrived international students to Stanford to give them CCIS, community, and university information. Morning and afternoon weekday shifts are at the Bechtel Int'l Center, for two weeks before September classes begin.
PROFESSIONAL LIAISON   Visit with an international spouse for a one-time meeting to share your professional talents or career expertise. Please complete Item #2 of the Member Profile Information on this form.
BOARD EVENTS   Serve on a committee to help organize and produce the CCIS Holiday Luncheon in December, and/or the CCIS Annual Meeting in May.
Make a Donation
CCIS is a non-profit volunteer organization with no paid staff, and we receive no Stanford University funding. Please choose your level of fully tax-deductible donation, and either pay online, or by check. You can make a payment of your pledged amount online after you submit this form, by PayPal, or by using most major credit cards through PayPal. We suggest a $25 donation, but all contributions are welcome. We appreciate your generosity!

Your voluntary donation to CCIS supports our ongoing programs for international students, scholars and spouses throughout the year.

Your donation to the Spouse Educational Fund (SEF) supports annual award grants that help spouses of International Stanford students advance their education while accompanying their partners to Stanford. Your donation to the Spouse Endowment Fund (Endowment) will provide a stable base for the SEF ongoing grants in the future.

If you prefer to make your donation by check, send one check for your total donation amount, along with this form showing your donation allocation(s), to: CCIS, Bechtel Int'l Center, 584 Capistrano Way, Stanford, CA 94305. Make your check payable to "CCIS."

This year's new donations:
CCIS donation pledge
Spouse Education Fund pledge, for current use
Spouse Education Fund Endowment pledge
Member Profile Information
1. Please provide your gender and approximate age.
   I am: Female Male. 20-39 40-64 65+
2. The CCIS Communiqué newsletter is available online on our website. Would you like to also get a free copy by postal mail? Yes No
   Does your spouse already have his/her own CCIS membership? Yes No
3. Current or past profession
   Expertise
4. International English teaching background, experience and/or credential:
5. I am interested in learning about the CCIS Board, CCIS Committees, and other CCIS leadership opportunities.
5. Suggest someone who might be interested in becoming a CCIS member. Personal referrals from current members are the best way for us to welcome new volunteers. Please include the person's contact information.
7. Tell us about you and your interests! (This section is suggested for all members, and must be completed by Hospitality and English in Action Volunteers)
Art Dancing Food/Cooking Games Gardening Hiking Film
Classical Music Modern Music Playing/Performing Music Singing
Writing Reading Photography Shopping Sports Technology
Travel TV Other (you must check this box if you put anything in the blank)
8. Please complete this additional section if you are an English in Action volunteer.
How many EIA clients are you willing to take?
(For as long as this is blank or zero, you will not be assigned any partners. (You may update this client number anytime online, or you can email the EIA program chair at: eia@CCISStanfordU.org to update your information for you.)
I prefer a Graduate Student   Visiting Scholar   Post-Doc  
Prefer spouse   Prefer spouse with child   Prefer no child present   Flexible  
I need a partner who:
can drive, to meet me off-campus.   speaks especially loudly and clearly.
I prefer to meet my EIA client partner(s)
Weekdays   Weekends   Evenings  
Add any comments related to EIA, such as special requirements you may have, or other interests. If you have had EIA partners that may not be in our database history, please list them at the end, with approximate dates as best you can. (E.g. Juan Doe, 1999-2001):
Return without entering data (discard this form)
Important! Once you have completed this form, please click "Enter the data" only one time. It may take a minute or so for you to get confirmation that your information has been entered, so please be patient. If you click a second time, your data may not be processed, or it might make a duplicate record for you in our files, which someone has to fix manually.

Welcome to the Community Committee for International Students!

If you have any questions about CCIS, or your membership, please email MemberServices@CCISStanfordU.org

(revised October 21, 2016)