Volunteers Application Form
PERSONAL DETAILS
First Name:
*
Last Name:
*
Date of Birth:
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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31
Year
2009
2008
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1915
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1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Gender:
*
Male
Female
Nationality:
*
Please state the language/s you speak fluently:
*
Address:
*
Post Code:
Contact Number (incl. country code):
*
E-mail:
*
NEXT OF KIN (in case of an emergency)
Title:
*
Mr
Mrs
Miss
Ms
First Name:
*
Last Name:
*
Address:
*
Post Code:
Contact number (incl. country code):
*
Alt. contact number (incl. country code):
E-mail:
*
BACKGROUND HISTORY
Have you ever travelled outside of your country?
*
Yes
No
If (yes), which continent?
Africa
Antarctica
Asia
Australia
Europe
North America
South America
Have you ever worked as a volunteer?
*
Yes
No
If (yes), please give details
Company/Organisation name:
Country/Countries:
Activity/Project:
MEDICAL HISTORY
Do you have a medical illness:
*
Yes
No
Are you on any regular medication?
*
Yes
No
Are you addicted to anything?
*
Yes
No
Do you have any allergies?
*
Yes
No
Are you registered disabled?
*
Yes
No
REASON FOR APPLYING
What are your reasons for applying to volunteer?
*
Academic
Hobby
Holiday
Service
Work Experience
Other:
Which project are you interested in?
*
Building
Discovery
Farming
Festival of Nations
Girl Group/Sisters in Service
Global Community League
HIV/AIDS Programme
Hospital
Media
Music School
Orphanage
Soccer Academy
Teaching
DURATION
How long are you available to volunteer?
Less than a month
1 month
3 months
6 months
9 months
12 months
Other:
Please state prefered month of departure:
*
January
February
March
April
May
June
July
August
September
October
November
December
How did you hear about Friends In Service International?
Our website
Our brochure
Through another website
Through a friend
Other:
REFERENCE
Below is where you can provide us with a professional current/previous tutor or employer. Please note that we do not accept refernces of relatives, friends, or neighbours.
Title:
*
Mr
Mrs
Miss
Ms
Profession:
*
First Name:
*
Last Name:
*
Address:
*
Post Code:
Contact Number:
*
E-mail:
Your relation to this person:
*
Declaration
I
*
Declare that the information given on this application form is true and accurate. I understand that I will need an approval from a referee sent to Friends In Service International for me to be able to be given a placement in the desired projects, which are organised by Friends In Service International and their partner organisations. I will also need to attend an information day where the decision of my placement will be made.
Confirm E-mail address:
*
Date:
We shall need consent of a parent or guardian for applicants below 18 years of age. Applicants should know that filling in this form is not a guarantee for a placement.
FINISH