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Background information

Volunteer Data

 

Name of the volunteer :

 
 


 

 

Foundation “Helping Hand”

Education, Rehabilitation and Welfare Centre
"Helenow"

Stowarzyszenie Promocji Wolontariatu ul. Tamka 49/11, 00-355 Warsaw, Poland tel.: +48 22 672 26 40 www.spw.info.pl

Name and address

  First name     Photo  
  Last name    
  Date of birth    
Place of birth    
  Gender   Female Male  
  Nationality    
Country of legal residence if different    
  Street address  
  Postcode     Town  
  District or region     Country  
  E-mail    
Telephone        
Mobile phone        
               

 

 

Background information

 

What is the highest level of education you have completed (check one box only) primary education secondary education vocational training higher education
Current situation (1 box only) working unemployed long-term unemployed (> 6 months) studying training other, specify……

 

 

What are your language skills? Language Level
  Please use the following codes:    
1 = mother tongue, 2 = fluent, 3 = good, 4 = basic.    
         
       

 

Have you previously participated in voluntary service, community activities, or youth organisations? (check as many as apply.) no yes, short or long term voluntary service yes, community activities yes, youth organisations or other organisations

 

 

Describe the organizations, movements, service programs and other projects in which you have participated
 

 

What volunteer work have you done?
 

 

Describe the place where you live (town, city, village; is it an urban, rural, industrial area? where is located? population? unemployment rate?) Describe your cultural, geographical and socio-economic background.
 

 

Please describe why you want to participate in the European Voluntary Service and why you chose this particular project?
 

 

What relevant skills would you like the hosting project to know? What kinds of activities would you like to contribute to a project?
 

 

Describe your previous international or intercultural experience (e .g. youth exchange, studies or work abroad, being a mentor for foreign volunteers).
   

 



Why did you choose Poland for your EVS experience?
 

 

Describe your future plans with reference to studies or occupation. How can your experience with EVS help you in realizing your future plans?
 

 

Emergency contact
Please provide contact details of a person who can be contacted in case of an emergency.
Family name (Mr/Ms)   First name  
Street address  
Postcode   City  
Region   Country  
Telephone   Email  

 

Do you have special needs that would need to be taken into account:   dietary needs, if yes, specify ………….. problems of mobility, if yes, specify ………….. health care, if yes, specify ………….. any allergies, if yes, specify ………….. any other, if yes, specify …………..

 

Do you already have a sending organisation? yes Name: Contact person: E-mail: Phone: no

 


Date: 2015-12-11; view: 819


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