For Voluntary Services (Weltwärts Programme)

For Voluntary Services (Weltwärts Programme)

5

A p p l i c a t i o n F o r m

for Voluntary Services (Weltwärts Programme)

Personal Data
Family name: ier klicken und Antwort eingeben]" / First name: ier klicken und Antwort eingeben]"
Address:
ier klicken und Antwort eingeben]" / Study Address: ier klicken und Antwort eingeben]"
Phone:
ier klicken und Antwort eingeben]" / Mobile:
ier klicken und Antwort eingeben]"
Skype:
ier klicken und Antwort eingeben]" / e-mail:
ier klicken und Antwort eingeben]"
Nationality: ier klicken und Antwort eingeben]" / Passport No: ier klicken und Antwort eingeben]"
Kindly note: A passport is essential!
An ID card is not sufficient!
In case you haven’t yet got a passport, apply for it immediately on being selected and forward us the details of your new passport.
Place and Date of Issue: ier klicken und Antwort eingeben]" / Date of Expiry: ier klicken und Antwort eingeben]"
Date of birth: ier klicken und Antwort eingeben]" / Place of birth: ier klicken und Antwort eingeben]"
Family
Father’s name: ier klicken und Antwort eingeben]" / Mother's name: ier klicken und Antwort eingeben]"
Brothers and Sisters (Number, Age): ier klicken und Antwort eingeben]"
Person to notify in case of emergency:
Name:
ier klicken und Antwort eingeben]" / Telephone: ier klicken und Antwort eingeben]"
Abilities / Experience in the Charitable Field
Languages (native speaker, fluent, good / average / basic / no knowledge?)
English: ier klicken und Antwort eingeben]"
Hindi: ier klicken und Antwort eingeben]"
Other: ier klicken und Antwort eingeben]"
What is your mother tongue?
Answer: ier klicken und Antwort eingeben]"
Where and for how long did you learn English?
Answer:
ier klicken und Antwort eingeben]"
Computer skills, kindly specify
Answer:
ier klicken und Antwort eingeben]"
Any other skills which you would like to share with us
Answer:
ier klicken und Antwort eingeben]"
Have you already worked anywhere on an honorary/charitable basis?
If yes, what did you do?
Answer:
ier klicken und Antwort eingeben]"
~
Health
Do you smoke?
Answer: ier klicken und Antwort eingeben]"
Do you suffer from allergies? If yes, explain, why it does not impede your intended volunteer service!
Answer:
ier klicken und Antwort eingeben]"
Do you require any special diet or have any health related limitations?
Answer:ier klicken und Antwort eingeben]"
~
Voluntary Service
For which project do you apply? Please choose two of the projects listed on our website. Kindly take note of the beginning and duration of the different projects (read our homepage).
Kindly apply for the post only if you are able to commence the voluntary service at the given time. Other applications can unfortunately not be entertained.
Which Volunteer Post? / Name of the Indian Partner: / Date and desired duration (minimum 6 months)
First Choice: / ier schreiben]" / ier schreiben]" / ier schreiben]"
Second Choice: / ier schreiben]" / ier schreiben]" / ier schreiben]"
~
Do you have any practical experience in this field? If yes, what kind? If no, why do you think, you still qualify for the post! Why do you want to work in the field you mentioned?
Answer:
ier klicken und Antwort eingeben]"
Have you previously participated in a voluntary service?
Answer:
ier klicken und Antwort eingeben]"
Have you been to India before? If yes, where exactly did you go and what did you do?
Answer:
ier klicken und Antwort eingeben]"
Which problems and challenges do you expect in India? Are you ready to spend a long period of time living in a different culture? What kind of problems can you imagine that you might personally encounter?
Answer:
ier klicken und Antwort eingeben]"
Are you willing to share a room with another volunteer during your stay? Are you willing to live under simple living conditions?
Answer:
ier klicken und Antwort eingeben]"
Why do you wish to work abroad (and not at home) as a volunteer for some months?
Answer:
ier klicken und Antwort eingeben]"
What are you planning to do after the voluntary service?
Answer:
ier klicken und Antwort eingeben]"
To shoulder the entire costs of your voluntary service over and above the contribution of the BMZ, we expect you to organise a supporters' circle (Förderkreis) for donations towards the expenses which will be incurred (see Nr. 7 of the BMZ-Guidelines/Richtlinien). Kindly share with us how you would like to go about it?
Provide us a tentative breakup of the expected donor’s circle or source of supporters
Answer:
ier klicken und Antwort eingeben. 1...... : € ..... 2...... : € ... 3...... : € ...]"
As we would like to establish a long-term relationship with you, we would be interested in knowing how you could imagine your commitment for DIZ or its Partner Organisations after your return (e.g. fundraising activities, awareness raising activities such as lectures, photo exhibitions …)? Kindly share with us concrete ideas!
Answer:
ier klicken und Antwort eingeben]"
How did you find out about the weltwärts programme and the voluntary service in India (e.g. DIZ Website, weltwärts website, friends…)?
Answer:
ier klicken und Antwort eingeben]"
~
Declaration of conformity
I hereby confirm that I have read and understood all the information provided on DIZ’s website under http://www.diz-ev.de/?q=weltwaerts, as well as the information about the supporters’ circle (Informationen zum Förderkreis) and that I am able to comment on these contents in my own words when asked in the selection interview.
I hereby confirm that I will commence my voluntary service in the specified month.
I filled in this form in English by myself.
I hereby declare that all the above said information is true to my knowledge. I am in good health and that I am not aware of any health- or other reasons making my stay in India unreasonable.

______

Place / Date / Signature

Spendenkonto: Evangelische Bank • IBAN: DE84520604100004004108 • BIC: GENODEF1EK1