Beruflich Dokumente
Kultur Dokumente
This form is to be completed by all volunteers following the completion of their action at home.
5. Month & year placement started: 6. Month & year placement ended:
8: Where was your action at home held (please give town or district, and country):
9. Please select the sector addressed by the social action. Choose one sector your social action most focused
on:
Education
Health
Livelihoods
Sexual and Reproductive Health
Strengthening Civil Society
Environment
Other ( Specify )
If other please lists the sector here:
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• To raise funds for a project
• Other
11. Please describe in brief your social action. Tell us what you planned to do, what actually happened and
what was achieved:
13. Did any community leaders or officials attend your action (e.g. politicians, local government officials)?
Yes No
If yes, please give the name of the newspaper, radio station or TV station, or a link to the social media site:
If you used social media how many hits/likes did you receive?
16. Please provide a quote from someone attending the action describing what they learnt or what they intend
to do as a result of your action:
2
17. Do you plan to continue volunteering at home or have future plans to expand on their social action? If yes,
please give details of your plans here:
18. Do you have any further comments or reflections on your social action?