ICS Application Form

This application form is for applications to be an ICS Youth Volunteer and Team
Leader. Incomplete application form and also only CV or Resume without this
application form will count as unsuccessful application and will be automatically
rejected.

If you are completing this form by hand, please use BLOCK CAPITALS. Once you
have completed this form, please save as an attachment and email to
info.bangladesh@vsoint.org

Or you can post this form back to People and Operations Department, VSO
Bangladesh, House 382 (1st and 5th Floor), Road 28, New DOHS, Mohakhali,
Dhaka-1206.
***IT’S A VOLUNTEERING ROLE NOT EMPLOYMENT***

Section 1: Eligibility
Which ICS opportunity would you like to apply for? Choose from the following:

Which Interview/Exam/Assessment center

/venue do you want to
come/join/participate? Please write any
Write:
one option from the three 1). RDRS
Bangladesh, Rangpur 2) CSS AVA Center
Khulna 3) CAMPE Mohammadpur, Dhaka
ICS Volunteer (Birth certificate age 18-28)
Write:
(Yes/No)
ICS Team Leader (Birth certificate age
Write:
23-35) (Yes/No)

Full Name Write:

Email address Write:
Mobile number (Applicant) Write:
Mobile number (Legal Guardian) Write:
Landline number (If any) Write:
Date of Birth (DD/MM/YYYY) Write:
Smart card/NID/Birth certificate number Write:
Father Name Write:
Mother Name Write:
Gender (Male/Female/Trans/Other) Write:
Marital Status (Yes/No) Write:
Children Status (Yes/No) Write:
Present Address Write:
Permanent Address Write:

Section 2: Availability
1.1 Are you willing and able to be away
from home and living in a remote and
poor community for a maximum of 3 to
4 months (20 May 2018 - 19
September 2018 for Team Leader
and 03 June 2018 - 02 September
2018 for Youth Volunteer)?
1.2 As an ICS Volunteer or Team Leader,
Write:
you should know that the program will
run for 3 to 4 months within
Bangladesh but must be outside your
community. The Placement Duration
is (20 May 2018 - 19 September 2018
for Team Leader and 03 June 2018 -
02 September 2018 for Youth
Volunteer)?
Section 3: Academic Qualification
What are you doing now?

Studying full-time
Studying part-time
Working full-time
Working part-time
Volunteering
Training
Write:
Unemployed
Year out/gap year
Apprenticeship
Study on a government training program
Retired
Other

Latest Academic Information

Name of University/College/Institution Write:

Name of degree Write:
Name of subject Write:
Major specialization Write:
Current status (Running
student/Internship student/Studentship Write:
completed)
Certificate obtained (Yes/No) Write:
Convocation completed (Yes/No) Write:
Section 4: Motivation
ICS is your chance to make a difference and we need volunteers to be flexible and
adaptable. You will need to be prepared to volunteer anywhere in Dinajpur
(Parbatipur & Birampur), Bagerhat (Mongla) and Khulna (Batiaghata) of
Bangladesh. Where possible we will use your answers to the questions below to
help match you to a program but please be aware that you will need to be flexible:
we can’t guarantee that we will be able to match you to your area of preference.

Why do you want to volunteer for the ICS program?

Personal growth (Yes/No) Write:

Meet new people (Yes/No) Write:
Interest in other cultures (Yes/No) Write:
Travel (Yes/No) Write:
Practice my language skills (Yes/No) Write:
Interest in international development
Write:
(Yes/No)
Gain new skills/experience (Yes/No) Write:
Want to contribute something to a
Write:
community (Yes/No)
Desire to understand more about poverty
Write:
(Yes/No)
Other (Specify) Write:

Why you Want to Volunteer?

(Please note, this questions has a character limit of 900 characters)

Answer:

Why do you think you should be selected to be on the ICS Programme?

(Please note, this questions has a character limit of 900 characters)

Answer:
Have you volunteered before?

Yes/No Write:

But If Yes please give brief details.

In Bangladesh with Write:

Overseas with Write:

The English language is the working language of this program and fluency in English is
essential to be on the program. How proficient are you in English?
(Please note, this questions has a character limit of 900 characters)

Answer:

What areas are you passionate about or interested in? Please select up to three from the
list below:

Increasing access to education (Yes/No) Write:

Raising awareness of health issues (Yes/No) Write:
Support and develop local businesses (Yes/No) Write:
Making sure people earn a decent living (Yes/No) Write:
Developing employability skills (Yes/No) Write:
Human rights and campaigning (Yes/No) Write:
The environment and climate change (Yes/No) Write:
The role of faith in reducing poverty (Yes/No) Write:
I am not sure yet/ I don’t mind Write:
Section 5: Personal Information
We are committed to ensuring that ICS is a diverse and inclusive program. The
following questions will enable us to ensure appropriate support is provided to
you, you may be contacted for further information when necessary. The answer of
this question will not affect your eligibility for the program and are not used in the
selection process.

If you have a disability or medical condition that requires support, please give
details (maximum 255 characters)

Answer:

Section 6: Team Leader - ICS

Team Leader - ICS should have experience of leadership and excellent people
skills. Please provide clear examples in as much detail as possible that
demonstrate how you’ve supported others in a group setting. This will help us
assess whether you might be suitable for a Team Leader role.

What experience do you have of supporting or leading groups of people?

(Please note, this questions has a character limit of 900 characters)

Answer:

Describe any other skills you have that are relevant to the role of a team leader?
(Please note, this questions has a character limit of 900 characters)

Answer:
Section 7: Reference
As a part of the selection process, we need to email & contact two referees, which
we ask you to nominate below. The first referee, where possible, should be
someone who knows you in a professional capacity i.e. Tutor / Teacher /
Co-Worker / Religious or Community Group Leader / Manager, Volunteer
Supervisor or Youth NGO or any other NGO Leader. The second should be
someone who has known you well for at least two years but with a traceable
address.

Referee-01 Referee-02
Name (Mandatory) Write: Name (Mandatory): Write:
Designation Designation
Write: Write:
(Mandatory) (Mandatory):
Organization Organization
Write: Write:
(Mandatory) (Mandatory):
Mobile (Mandatory) Write: Mobile (Mandatory): Write:
Email (Mandatory): Write: Email (Mandatory) Write:
Relationship with Relationship with
Write: Write:
you (Mandatory): you (Mandatory):
Section 8: Submit Application with the Following Declaration
By completing this form, I agree that VSO and YDO through the International Citizen
Service Programme (ICS) will store and process my data in accordance with the
requirements of their own data protection policies and their confidential policies. I agree
that agencies may transfer my data as is necessary to any country where I may be
placed. They may pass my information to the relevant partner organizations in
Bangladesh and in-country staff but will ensure that their counterparts overseas continue
to handle my personal information in accordance with their confidential and data
protection policies. Details of transfers can be provided to me at my request. They will
hold any information I give them in order to contact me about my volunteering options.
That they would also like to keep me informed about the range of ways I can become
involved with the International Citizen Service (ICS).

Name: Write
(Insert your digital/soft
Signature: Date: Write
copy/written signature)