2025_VOLUNTEER_PACKET.pdf — PaddleOCR-VL (Baidu)

VOLUNTEER APPLICATION

First Name

Middle Name

(Last Name)

Address 1: ___ Address 2: ___

Address 1

Address 2

City: ___ State: ___ ZIP: ___

City

State

ZIP

Phone Number: ___ Email Address: ___

Phone Number

Email Address

Gender: ☐ Male ☐ Female ☐ Do not Wish to Self-Identify Date of Birth: ___

Date of Birth

Gender

Are you legally authorized to work in the United States? ☐ Yes ☐ No

Are you legally authorized to work in the United States

Emergency Contact

Name: ___ Relationship: ___

Name

Relationship

Phone Number: ___ Email Address: ___

Phone Number

Email Address

Volunteer Information

Area of Interest / Department: _____ Supervisor / Mentor _____

Area of Interest / Department

Supervisor / Mentor

Supervisor / Mentor Signature

Date

Do you have any physical limitations or health concerns we should be aware of? ☐ Yes ☐ No

Do you have any physical limitations or health concerns we should be aware of

If yes, please explain:

___

If yes, please explain [1]

If yes, please explain [2]

If yes, please explain [3]

Do you have prior volunteer experience? ☐ Yes ☐ No

Do you have prior volunteer experience

If yes, please list organization(s) and dates:

If yes, please list organization(s) and dates [1]

If yes, please list organization(s) and dates [2]

If yes, please list organization(s) and dates [3]