<p>AI Index Circular 4 - ICM 2013 VOLUNTEER PROGRAMME</p><p>APPENDIX 1 - 2013 ICM Volunteer Application Form</p><p>Please complete this form and return it with your curriculum vitae (CV) to your nominating section or structure who will submit it by e-mail to OLU by:</p><p>Sunday 27 January for the Volunteer Coordinator or Deputy Coordinator positions Sunday 10 February for the Volunteer positions (team leaders are selected from this pool of applications)</p><p>Position applied for: Please mark the box for all positions for which you would like to be considered:</p><p>Volunteer Coordinator Deputy Volunteer Coordinator Team Leader Volunteer</p><p>Surname(s): First name(s): Address: </p><p>Tel: (work) (Home) E-mail: Current occupation: AI Section/Structure of which you are member: How will your travel expenses be paid? Please specify (i.e. self, section, funded position) </p><p>Gender Female Male</p><p>Age range 18 - 25 years (18 is the minimum age for volunteers) 26- 30 years 31- 40 years 41- 50 years 51- 60 years 61 years or over</p><p>Languages Spoken and Level: w = written / s = Intermediate spoken Native level* Fluent * * Basic* w w w w English s s s s w w w w French s s s s</p><p>1</p><p>1 AI Index Circular 4 - ICM 2013 VOLUNTEER PROGRAMME</p><p> w w w w Spanish s s s s w w w w Other, specify: s s s s</p><p>* Notes to assist you to assess your language level: Native level: Primary language/mother tongue Fluent: Can speak/write the language with ease and without hesitation, understandable by native speakers with little effort Intermediate - ability to engage in a conversation and get the sense of what people are talking about though you may not understand everything that is being said Basic - knowledge of simple vocabulary and ability to engage in simple, short conversations. Applications from section staff where sections are willing to second the staff member are welcome</p><p>Work Experience: Please use this section to explain how your experience shows that you would make a good ICM Volunteer Coordinator, Deputy Volunteer Coordinator, Team Leader or Volunteer. Maximum 1500 words. We suggest that you give evidence about each of the items on the relevant Person Specification. Please use another sheet if needed. Please also attach your CV. </p><p>References: 1. Please give us the names and contact details of two Amnesty International referees whom we may contact about your application. Applications failing to include the required number of references with complete contact details will not be considered. Referee 1 - Name: Position Tel: Include international prefix</p><p>E-mail: Referee 2 – Name: Position Tel: Include international prefix</p><p>E-mail:</p><p>Nominating Section / Structure to complete below:</p><p>2</p><p>2 AI Index Circular 4 - ICM 2013 VOLUNTEER PROGRAMME</p><p>Nomination: “statement from the section / structure supporting the application of this candidate.”</p><p>On behalf of AI XXX </p><p>3</p><p>3</p>