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volunteership_form

Personal Information

( Enter all information exactly as it appearson your passport)

All programs of Rehoboth Sisters Company Limited are open to eligible applicants on an equal opportunity basis. Information requested on this form is needed solely to maximize each applicant’s placement options.

Family Name

First Name

Middle Name(Full Spelling)

Date of Birth

Gender

Country of Birth

Country of Citizenship

Permanent Address

Street Address

Other Address( Option)

City

State

Zip Code

Country

Telephone

Are you a student?

Name of the Institution

Program:

when is the best time to contact you? Monday through friday, East African time

Date of arrival in Uganda

Date of departure from Uganda

Volunteer Preferences:

Volunteer Residence will be dormitory style with limited options allowed to host families or Guest houses for easy Monitoring

Skills

(Attach additional pages)

Please describe your experience related to each of the volunteer positions mentioned on the first page. State where and with which organisaion you worked with.

Additional Skills

Please use this space to describe any relevant experience you may have in related volunteer categories

Volunteer Position

Why have you decided to work as avolunteer in Uganda this season? what one thing would you want us to know ?

Personal Values

As a participant of the YMCA Porgram, regardless of your placement site, you will a role model to everyone with whom you may have contact. As such, you are expected to model positive values such as Caring, Honesty, Respect & Rsonsibility. Please describe your own personal valuse.

Personal Attributes

What are your strongest qualities?

Leadership Positions

What leadership / volunteer positions have you held ?

Are you a member of YMCA?

Yes

Personal background

Have you ever been convicted of a crime?

Yes

Have you ever been convicted of child abuse?

Yes

Do you have relatives in Uganda?

Yes

if yes

Name