Application for a International Voluntary Service in Ethiopia and/or Slovakia EJW-worldservice/YMCA Germany

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1 Application for a International Voluntary Service in Ethiopia and/or Slovakia EJW-worldservice/YMCA Germany Photo here APPLICATION FORM FOR VOLUNTEERS Read carefully before answering Copies will be distributed to Hosting Partner, EJW-worldservice and International Office of YMCA Germany. 1. Last Name 2. Sex Female First Name Male 3. Personal Address (street, postal code, city, country) 4. Telephone + - Mobile phone + - Fax Date of Birth (DD/MM/YY) Place of Birth 6.Nationality Passport Number 7. Marital Status Religion 8. Person to contact in case of emergency (name, address, telephone, ). 9. You are ready to serve for the following duration 6 months (Minimum) 9 months 12 months (Maximum) Other: in the time between and 10. Your favourite country/ies (Ethiopia and/or Slovakia) for your service are (why?) Evangelisches Jugendwerk in Württemberg, EJW-Weltdienst, 1

2 11. Please describe your educational background/ training/ work experiences. School/College/Company Years Level Additional comments if you want to add: 12. What is your mother tongue? Do you speak any foreign languages? Language Years studied Fluent Good Fair Basic 13. What are your hobbies? 14. What are your future plans? 15. Please describe yourself, including your strengths and weaknesses. 16. Have you had any international experiences (for example: camps and conferences in other countries, contact with people of other cultures, etc.)? If so, please give details. Evangelisches Jugendwerk in Württemberg, EJW-Weltdienst, 2

3 17. Do you have any current or previous involvement in voluntary work in any organisations, initiatives, service programmes and other projects? If so, please give details. 18. Do you have a Jugendleiter-Card (JuLeiCa)? Yes No Received from which organisation? 19. The YMCA is an ecumenical Christian youth movement. There is a wide variety of how the different local associations express their Christian identity. This and the ways and styles may seem strange to you. It is important that you and your hosting YMCA find a common ground in this question. Please describe your own thoughts, and express your expectations towards the hosting YMCA: (If you apply to work for SEM in Slovakia: Express your expectations towards SEM concerning faith and Christian identity.) 20. What is your understanding of voluntary work? 21. What are your main reasons for going abroad? 22. What type of voluntary work would you like to do and why? Indicate those fields in which you would not like to work and why? 23. What do you hope to gain from the time abroad? What challenges and difficulties do you think you will encounter during a year, living in another culture with a different set of values? Evangelisches Jugendwerk in Württemberg, EJW-Weltdienst, 3

4 24. I am aware that it might be that I have to live under very simple conditions. How will you cope with this? Very good I hope, good It will not be easy for me 25. Do you have any objections to sharing a room? Yes No If your answer is yes, please explain why. 26. What skills do you have? Working with children Working with youth Working with disabled Self-initiative Teamwork Creativity Scouts (Pfadfinder) Others, please Manual skills (please specify) Teaching Sports Music Devotions/Prayers Work with the bible Office work, administration 27. Do you have a driver s licence/permit? If so, would you be willing to drive in a foreign country? Yes No Yes No 28. Do you have special dietary requirements? Please indicate. No Vegetarian Other 29. Do you have to take medicine regularly? Yes No 30. Are you in constant medical or therapeutical treatment? Yes No 31. Do you have any allergies? Yes No If your answer is yes, please indicate what kind. Evangelisches Jugendwerk in Württemberg, EJW-Weltdienst, 4

5 32. Add any personal remarks or comments you may have: Gerne können Sie dieses Formular durch ein separates Blatt Papier mit weiteren Informationen ergänzen! Hinweise zum Umgang mit Ihren persönlichen Daten Ich erkläre mich mit der elektronischen Speicherung und Verarbeitung meiner personenbezogenen Daten einverstanden, soweit dies für die Durchführung des Freiwilligendienstes notwendig ist. Mir ist bekannt und ich erkläre mich damit einverstanden, dass meine Daten dann an Dritte weitergegeben werden, wenn diese vom EJW-Weltdienst im Rahmen seiner vertraglichen Pflichten mit der Wahrnehmung von (Teil-) Aufgaben beauftragt wurden. In diesem Falle unterliegen diese Dritten denselben Datenschutzverpflichtungen wie der EJW-Weltdienst, der sie ausdrücklich auf diese verpflichtet. Ort Datum Unterschrift Als weitere Unterlagen bitte einreichen: - zwei Referenzen, deutsch (z.b. von Jugendarbeit, Kirchengemeinde, Verein, Schule, ) - Motivationsschreiben, einseitig, deutsch - Abschlusszeugnisse - 1 Lichtbild Bitte füllen Sie den Bewerbungsbogen handschriftlich und gut lesbar auf Englisch aus und schicken Sie ihn mit der Originalunterschrift auf der letzten Seite und den weiteren Unterlagen per Post an: birgit.knoell@ejwue.de EJW-Weltdienst Birgit Knöll Haeberlinstr Stuttgart Tel Bitte keine Bewerbungsmappen schicken, sondern einfach mit einer Büroklammer zusammenheften! Evangelisches Jugendwerk in Württemberg, EJW-Weltdienst, 5