Middle East & North Africa Form

Completing the form:

• Please provide us with as many details as possible on the application form. This will enable us to get a better understanding of your interest and expectations.
• Please include referee details for the references
• Please include your VSI Membership fee + the VSI Programme fee with your application

VSI Membership Fees

• Wage Earners € 27.00
• Non Wage Earners € 14.00

VSI Programme Fee:

A fee of €140 applies to all participants for projects in 1 country. €40 extra for each additional project in a different country

This fee is to cover:

• VSI Administration
• SCI International Co-Ordination.
• Contribution to Middle East & North Africa Volunteers Programme in Ireland
• Please include your VSI Membership fee + the VSI Programme fee with your application
• Cancellations and Refunds
  If you have to cancel your application, please let us know immediately. Once placed on a project of your choice, you will not be entitled to a refund of your Programme Placement fee, apart from in exceptional cases. However, if we are unable to place you on a project, we will refund your placement fee (but not your VSI membership fee), you will remain a member of VSI for one year.

VSI's Middle East & North Africa Programme is comprised of four parts all of which are integral to the programme:

• Preparation Workshop
• Volunteer Projects
• Evaluation Workshop on return
• Completing Evaluation form

Participation at each stage is essential.

Preparation Programme

We organise a comprehensive preparation and orientation programme/briefing for participants. Volunteers intending to take part in the Middle East & North Africa Programme must join in our Preparation Workshops.

VSI Middle East and North Africa Application Form

Country choices according to preference

Country 1
Project Name-Code-Dates
Country 2
Project Name-Code-Dates
Country 3
Project Name-Code-Dates

Personal details

Family name *
First name *
Nationality *
Sex *
Date of birth *
Passport number

Address

Current Address *
Dates at this address (from to)
Telephone (home)
Telephone (mobile)
E-mail *
Permanent Address *
Telephone (home)
Telephone (mobile)
E-mail

Emergency contact

Name *
First Name *
Address *
Telephone (home) *
Telephone (mobile) *
Email

Languages

Language 1

Level of fluency

Fluent Medium Basic

Language 2

Level of fluency

Fluent Medium Basic

Language 3

Level of fluency

Fluent Medium Basic

Motivation and Experience

Have you previously participated in voluntary activities? (Please refer to dates - length of service - country - type of work - employer - or organization. Include any VSI or SCI projects. Give details of your involvement with development education or campaigning organisations i.e. anti-racist - pacifist - Human rights - environmental - etc.)
Studies / Work / Hobbies? (Outline what courses you have studied or are studying and/or your current employment and other skills you have e.g. first aid)
Have you ever travelled or lived abroad?
What is your motivation for participating in this programme? (Please include what contribution you expect or hope to make on your return home from the experience that you have gained.)
Do you have any significant health issues/problems? e.g. any serious accidents - illnesses - disabilities - allergies. Do you take any regular medication? (Volunteers have a personal responsibility to ensure that they are in good health - fit for travel and for taking part in a volunteer project. SCI aims to provide volunteer opportunities to all. All information provided in this form is for the safety and wellbeing of all participants and will be shared only when appropriate.)

References - General

Referee 1 - Name
Occupation
Address
Telephone
Email
Referee 2 - Name
Occupation
Address
Telephone
Email