ボランティア派遣要請書（英語）

R 元年 6 月版

We’re Now Dispatching
Interpreters & Other Volunteers!
The Kagawa International Exchange Association (I-PAL) operates a volunteer dispatch system todispatch interpreters and other volunteers to aid international residents with limited Japanese skills,
and to promote mutual international understanding among prefectural residents. We are looking
forward to the extensive use of our dispatch system by organizations interacting with foreign
residents, schools and educational institutions, medical institutions, and health and welfareorganizations, etc.

分かりました。
放課後に日本語の勉強を先生、しましょう。

日本語が難しくて授業についていけないそうです。

Japanese is very
difficult to follow,
so I can’t keep up
in class…

1. What are the volunteer activities?
Type of Volunteer

Explanation of Duties
Support international residents with limited Japanese ability

1. Interpreter

when they go to the doctor’s, to a health or welfare facility,
or in other activities in which they will need language
assistance by interpreting for them.
Support international residents with limited Japanese

2. Japanese Instructor

language abilities by teaching them Japanese language skills
necessary in everyday life.
Support international residents by teaching classes that

3. Japanese Cultural Instructor

promote mutual understanding, such as Japanese cooking,tea ceremony, traditional folk dance, sports, etc.
Internationalresidents,

orthosewithinternational

cooperation or study abroad experience, promote mutual

4. International Speaker

international understanding by offering their personal
international experiences or foreign language instruction at
educational facilities.

ボランティア派遣要請書（英語）

R 元年 6 月版

2. Flow Chart of Volunteer Activities: (In the case of a volunteer interpreter)
Medical, Health,or Welfare Facilities

Kagawa’s International Residents
with Limited Language Abilities

1. Dispatch
6. Report Results

Request4. Volunteer Chosen

Kagawa PrefectureInternational ExchangeAssociation

5. PreliminaryTalks

6. Interpretation, etc.
Volunteer Activities

2. Dispatch Request

Registered Volunteers
3. Regulation of Contact

3. Specific Conditions of Dispatching Volunteers:
1.

2.
3.
4.
5.

Dispatched volunteers may not be asked to engage in any activities that require the knowledge of aspecialist, activities that pose a threat of contagion or other harm to their well-being, commercialactivities, and other activities that are inappropriate for volunteers to partake in.
If the volunteer activities in which the dispatched volunteer is to partake are deemed inappropriate, therequest for dispatch will be refused.
The individual or organization requesting the dispatch of a volunteer will be held responsible for thecost of medical treatment and/or legal fees incurred as a result of the volunteer activity.
The individual or organization requesting the dispatch of a volunteer will be responsible for paying thevolunteer fee, transportation stipend, and printed materials stipend*.
The volunteer fee is 1,000 yen per hour, and the transportation stipend will equal the actual
transportation fees paid. (In the case in which a volunteer drives to his/her location, the actual fees paid
amount to 37 yen for every 1 kilometers traveled.) The printed materials stipend* is limited to a 2,000
yen maximum.
(*The printed materials fee is limited to situations in which materials are needed by Japanese Instructors,
International Speaker, or Japanese Cultural Instructors.)

4. How can I apply for the help of a volunteer?
It is necessary to apply for the dispatch of a volunteer at least one month (in the case of volunteer
interpreter, at least 3 days) before the day the volunteer’s services will be needed.
To apply, please clearly explain the activities you are requesting the volunteer to participate in on the“Volunteer Dispatch Form”, and then email, fax, or mail the form to Kagawa Prefecture International
Exchange Association.

5. What happens after a volunteer dispatch？
Please submit a “Results Report” within two weeks of the completion of the volunteer activity.
Applications/Contact〒760-0017 1-11-63,Bancho, Takamatsu City, Kagawa, I-PAL Kagawa
Kagawa Prefecture International Exchange Association “Volunteer Dispatch Project”(Closed on Mondays)

URL: http://www.i-pal.or.jp/tsuyaku/
EMAIL： toroku@i-pal.or.jp
TEL：087-837-5908

FAX：087-837-5903

ボランティア派遣要請書（英語）

R 元年 6 月版（FORM3）

Request Form for the Dispatch of Interpreters or Other Volunteers
YearMonthDay

To Director of the Kagawa Prefecture International Exchange Association●Before I request a volunteer, I agree to the following conditions.
1. Volunteers should not be asked to engage in activities that require advanced specialist knowledge, activities that pose a threat ofcontagion or other harm to their well-being, commercial activities, or other activities that are inappropriate for volunteers topartake in.
2. The individual or organization requesting the dispatch of a volunteer will be held responsible for the cost of medical treatment
and/or legal fees incurred as a result of the volunteer activity.
3. The individual or organization requesting the dispatch of a volunteer will be responsible for paying the volunteer fee,transportation stipend, and printed materials stipend.
4. Within two weeks of the day of dispatch or the final day of all dispatch duties, you must submit a Volunteer Dispatch Report(Form 5) to the Kagawa Prefecture International Exchange Association.

Organization Name

*In the event an individual is making the request, write that person’s full name here.

（Representative’s Nameand Job title）

Name of Person in* In the event an individual is making the request, this part does not need to be filled out

Charge(Address)（Phone）

Contact Information（FAX）(E-mail)

Type and Number of
Volunteer(s) Being
Requested
Desired Date of□Interpreter (Language ：）（ Required number(s) of volunteer(s)□Japanese Instructor (Required number(s) of volunteer(s))□ Japanese Cultural Instructor (Required number(s) of volunteer(s))□International Speaker (Required number(s) of volunteer(s))*If you wish to request a dispatch that will take place over a period of several days, please attach a completeschedule.

Dispatch and Time
Required*Please attach a map to this form!

Place to Which(Name of dispatch location)

Volunteer Should Be（Address）

Dispatched(Closest station)（Phone）

Is advanced specialist knowledge required?
Is there a possibility of contagion or other harm?
Are commercial activities involved?
（Explanation of Activities）

Activity Content atDispatch Location（Other matters you would like to mention）□yes □ no□yes □ no□yes □ no）

ボランティア派遣要請書（英語）

R 元年 6 月版（FORM5）

Volunteer Dispatch Report FormYearMonthDay

To The Director of the Kagawa Prefecture International Exchange Association (I-PAL)

Name

Person/Organization Requesting Dispatch：
Volunteer：Dispatch Location

Date and Times Required forDispatch* If the volunteer activity takes place during the changing of the fiscal year, please fill out one report for
activities performed up through March 31st and one report for activities performed from April 1st and handin both.
* If the volunteer activity takes several days or longer to complete, please attach documentation of thevolunteer activity schedule.

YearMonthDay（day of week）from:to:

YearMonthDay（day of week）from:to:

YearMonthDay（day of week）from:to:Total # Dispatches:□Interpreter（Language：
Type of Volunteer（Total # Hours:）□Japanese Instructor□Japanese Cultural Instructor□International Speaker

Acceptance of Payment and/orTransportation Stipend

During your dispatch, were the following provided to the volunteer?
Payment□yes□noTransportation Stipend□yes□noVolunteer Activity Content*Please include any other comments concerning the volunteer activities.

Other Comments）