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ICS VOLUNTEER APPLICATION FORM

SURNAME: CONTACT ADDRESS: DATE OF BIRTH: TELEPHONE: E-MAIL ADDRESS: PLACE OF BIRTH: MOBILE PHONE: NATIONALITY: FIRST NAME/S:

1. How did you learn about ICS youth volunteering program?


Please be specific. E.g., If through the Internet, specify the website; If through a friend, specify their connection to ICS

2. Would you be able to take part un the ICS youth volunteering program for at
least three months including participation in the preparatory training activities?

3. ARE YOU CURRENTLY: working full-time working part-time unemployed other: _______________________________

studying full-time studying part-time looking for work volunteer work

4. Have you had experience of living or working with young people? If yes, please

give brief yet specific details of proven experience of living and/or working with 18-25 year old people from a wide range of backgrounds.

5. PLEASE GIVE BRIEF DETAILS OF YOUR EDUCATION/EMPLOYMENT BACKGROUND.

6. Have you had experience living or working in a cross-cultural setting? If yes,


please provide detailed examples.

7. Please cite examples of experiences where and how you used and adapted communication skills for a different range of community members.

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8. Please cite examples where and when you used planning and organising skills in team setting.

9. Please cite experiences and evidences when and where you managed finances/budget?

10. Have you had experience doing volunteer work? Please cite evidences of your volunteering work and experience.

11. Disability. Do you require ICS to make adjustments or amke available any support facility during Assessment Day? Please specify. ICS Xchange is committed to increasing the participation of differently-abled people in the programme and is working to ensure that we are welcoming and inclusive of differentlyabled people.

12. Please state why you wish to take part in the ICS youth volunteering program.

13. Please state what knowledge and skills you can share in the ICS program.

14. What qualities do you think you possess that will make you an asset in the ICS
program?

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15. REFEREES. Please give the names and addresses of two referees. The first referee should be someone who has known you well for at least two years and can comment on your character. The second should be able to comment on your skills and should be someone whom you have studied or trained under, or supervised your work, whether paid or voluntary. FIRST REFEREE NAME: ADDRESS: CONTACT NUMBER: E-MAIL ADDRESS: SECOND REFEREE NAME: ADDRESS: CONTACT NUMBER: E-MAIL ADDRESS: 16. MEDICAL INFORMATION. If you answer YES to any of the following questions, please provide details. Have you ever had any major illnesses, operation or accidents?

Have you ever suffered from any mental or physical health problems?

Are you taking any type of medication or have you taken any medication in the last two years?

17. DECLARATION. Signing this does not commit you to take part in the programme. It shows that the information is correct and that you would like to be considered for a place on the Assessment Day. All of the above information is, to my knowledge, true and accurate. I give my permission to ICS to contact my referees and/or my doctor for a medical report before the Assessment Day, if necessary.

SIGNATURE OVER PRINTED NAME: DATE: VSO will store and process your data in accordance with the requirements of its Data Protection Policy and in keeping with the Data Protection Act of 1998. VSO may use your details to send you further information relating to their international development work.

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