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Secondary Nav:
Volunteer - Application 2013
Application form for volunteers
All fields market with (*) are required exept set by default to (optional)
Name (*)
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Last Name (*)
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Birthday (*)
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Gender (*)
• male
• female
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Nationality (*)
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Street (*)
ZIP (*)
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City (*)
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Country (*)
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Phone (*)
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Cellphone / Mobile (*)
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Your e-mail address (*)
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Spoken languages (*)
• english
• italian
• german
• french
• spanish
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Upload picture
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Previous volunteer experience (*)
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Previous work experience (*)
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Please, state your level of experience in the following activities (*)
• Cleaning
---> basic
---> advanced
---> professional
• Kitchen help
---> basic
---> advanced
---> professional
• Handymen
---> basic
---> advanced
---> professional
• Gardening
---> basic
---> advanced
---> professional
• Office
---> basic
---> advanced
---> professional
• Dishwashing
---> basic
---> advanced
---> professional
• others
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Special interests / hobbies
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Please write a few sentences why you would like to join us as a volunteer (*)
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Do you have any physical or mental problems, infectious diseases, allergies that we would need to take into account for your work here? (*)
• no
• yes
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If yes, please, specify
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Are you currently taking any medication? If so, please write down which one and for what (*)
• no
• yes
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if yes please specify
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Do you smoke ? (*)
• no
• yes
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Is your working ability in any way limited ? (*)
• no
• yes
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If yes, please specify
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Do you have a health and/or travel insurance (*)
• yes
• no
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The volunteer program lasts for 4 to 6 weeks. Please give your first and second choice, when you would like to come and how long you would like to stay ?
Start date first choice (*)
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Start date second choice
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I would like to stay (*)
• 4 weeks
• 6 weeks
• more
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Anything that comes to mind that you think is interesting for us to know (*)
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How did you find us ? (*)
-- please choose --
idealist.org
summerjobs.com
ompio.org
trough a friend
other
I took part in a seminar at "Centro"
other - precise in the remarks field
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I read and understood the whole text. Iherby declare that all my statements are accurate and truthful.
(*)
• Yes (*)
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This information will be treated confidentially