centro d'ompio
Application form for the position as a Volunteer at Centro d’Ompio 2008

Name
nome
Last name
cognome
Birthday
data di nascita

(DD.MM.YYYY) / (GG.MM.AAAA)
(please don't forget to fill in the year you were born / per cortesia non dimenticare di inserire l'anno di nascita)
Sex
Street
strada
Zip
CAP
City
localita
Country
nazione
Telephone
telefono		              Faxi (only if possible / se in posesso)
e-mail

Previous volunteer experience
precedenti esperienze come volontario
Previous working experience
precedenti esperienze lavoratorive
Education
studi
Special interests/hobbies
hobbies e interessi personali
Please write a few sentences why you would like to join us as a working guest
per cortesia scrivi brevemente perché ti piacerebbe venire da noi come Working Guest
Do you have any physical problems, infectious diseases or mental problems that we would need to take into account for your work here? yes (if yes, please inform us about them in the next field.)
 
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. Il programma Working Guest può durare dalle 4 alle 6 settimane. Per cortesia indica due date (prima e seconda scelta) in cui preferiresti cominciare e per quanto tempo verresti rimanere.
First choice
prima scelta		 (DD.MM.YYYY) / (GG.MM.AAAA)
Second choice
seconda scelta		 (DD.MM.YYYY) / (GG.MM.AAAA)
I would like to stay
vorrei rimanere
How did you find us?
come hai fatto a conoscerci?
Remarks, wishes, notices
note