Future For Nepal : Volunteer Online Application

Volunteer Online Application Form

VOLUNTEER APPLICATION FORM

Name:

Date of Birth:

Phone numbers:

E-Mail (personal):

Home address:

Name of next of kin:

Next of kin’s contact details in case of an emergency:

Personal Details * (personal information will be held in the strictest confidence.)

Any history of health problems (mental or physical, please specify):

Any medical conditions (including asthma, poor circulation etc), illness, dietary requirements, etc.:

General fitness/activity levels:

State any academic qualifications [A-levels and above]:

Placement Period [Delete/ fill in as appropriate]

Starting from:

The first week of January, 200...

The last week of April, 200...

The last week of October, 200...

Desired length of placement :

3 months

6 months

Experience and Ideas

State any prior social / welfare experience [this can include teaching, volunteering etc]

2. State any prior experience working in a developing country:

3. State any specialist skills both of an academic and of an extra-curricular nature:

4. Give two examples of how you worked effectively in a team to reach a common goal:

5. What do you think will be the most challenging and rewarding parts of this placement?

6. What do you hope to gain from this volunteer experience?

7. Why do you want to volunteer in Nepal?

8. Why should we choose you as a volunteer?

9. Do you know anything about Future For Nepal? Do you think that you would like to become an active member of this charity? If yes, why?

10. Try and describe yourself in three words:

To submit this form, please enter the characters you see in the image:

PLEASE ATTACH TWO REFERENCES CONFIRMING THAT YOU ARE OF SOUND CHARACTER

FUTURE FOR NEPAL