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EVS/Long Term Volunteering
VSI Ireland VSI EVS/LTV Application Form
Project Details
Name of project
*
Country
*
Personal Data
Family name
*
First name
*
Gender
*
Nationality
*
Present Address
*
Country
*
Telephone (home)
*
Telephone (mobile)
*
Date of birth
*
E-mail
*
Passport number
Emergency contact name and address
*
(the name of a person who should be contacted in case of an emergency)
Emergency contact Phone (home)
*
Emergency contact Phone (mobile)
*
Please list your education and training history since you left school:
*
Please list your employment and work experience giving details of your roles/responsibilities:
*
Please list your voluntary and community work experience giving details of your roles/responsibilities:
*
What languages do you speak?
*
(level- fluent/good/basic)
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.)
How did you hear about the position?
Motivation
Why would you like to take part in the Long Term Volunteering/EVS programme?
Why would you like to volunteer on this project? (give project name)
What would you like to gain from the experience of taking part in an EVS/LongTerm Volunteering Project?
What skills or personal qualities would you bring to the project?
How do you like to spend your free time?
Signed:
*
Date:
*
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