Service Civil International

Service Civil International SCI International Volunteer Projects Application Form

Please fill it in electronically and send it via mail to [email protected]!

First name(s): Family name(s):

Address: Country of Where you currently live residence Nationality: Email address: Date of birth:

Telephone Home: Gender numbers: Mobile: F=Female, M=Male (international code and number) Occupation: Specify Occupation or Studies:

Emergency Contact: Name: Telephone: E-Mail-Address: Mother tongue: Other spoken languages: Put language and G for good, F for fair, S for slight.

Special wishes: e.g. to be placed with a friend; vegetarian-food; bring your child

Health: Do you have any significant health problems that would affect your participation in the volunteer project? Volunteers have a personal responsibility to ensure that they are in good health, fit for travel, and have received all vaccinations appropriate for their destination.

Voluntary experience: Give details about your volunteering experience with SCI and other organisations.

Number of SCI-Projects

Skills, you would like to mention: (e.g. driving license, practical skills, ...) General motivation: Why do you want to do a volunteer project with SCI?

First name(s): Last name(s):

Choice #1 Name:

Code: Dates:

Motivation:

Why you have chosen this project and this type of work? What do you expect from it?

What do you think you can contribute to a project as a volunteer? Only North-South-Exchange-Program:

What do you hope to gain from the experience of the North-South-program (preparation + project + evaluation)? What contribution do you expect or hope to make on your return after the North- South volunteer project? First name(s): Last name(s): Choice #2 Name:

Code: Dates:

Motivation:

What do you think you can contribute to a project as a volunteer? First name(s): Last name(s): Choice #3 Name: Code: Dates:

Motivation:

What do you think you can contribute to a project as a volunteer? First name(s): Last name(s): Choice #4 Name:

Code: Dates:

Motivation:

What do you think you can contribute to a project as a volunteer? First name(s): Last name(s): Choice #5 Name:

Code: Dates:

Motivation:

What do you think you can contribute to a project as a volunteer? "We (SCI) may disclose your personal data you provided by you to us to local or international project partner organizations only if and in so far as this is necessary for workcamp placement purposes also by means of our private online database on www.workcamps.info, and in accordance with applicable law.