Ansprechperson: Yvonne Burbach Tel: +49-228-95722-46 Fax: +49-228-358282 E-Mail: burbach@experiment-ev.de Postadresse: Gluckstraße 1, 53115 Bonn Contact Details E u r o p ä i s c h e n F r e i w i l l i g e n d i e n s t ( E F D ) E u r o p e a n Vo l u n ta r y Se r vice (EV S) Bewerbung / Application 1 Family Name: First Name: bitte Passfoto einkleben Address: Phone: Cell phone: Email: (Bitte berücksichtige, dass du lediglich über unseren Newsletter über aktuelle und zukünftige freie Projektplätze auf dem Laufenden gehalten wirst. Bitte gib eine E-Mail-Adresse an, über die wir dich durchgängig erreichen können, und schreibe sie deutlich.) Personal Information Date of birth: Place of birth: Nationality/-ies: Marital Status: single married/in a civil union separated/divorced (number of children: ) Education & Current (Employment) Situation (Expected) Educational level: university diploma / Universitätsabschluss A-levels / Abitur secondary school level degree / mittlere Reife CSE/school leaving certificate / Hauptschulabschluss without school leaving certificate / ohne Schulabschluss (Completion expected in ) Currently, I am: school student university student apprentice/trainee (Auszubildender) employed unemployed other Please specify the type of your studies/job/apprenticeship/ : Preferred Start Date of the EVS Earliest Start Date: Latest Start Date: 1 Bitte auf Englisch ausfüllen. Bei Bedarf können weitere Blätter zugefügt werden, bzw. das Motivationsschreiben gesondert beigelegt werden.
Voluntary Work Experiences / Work Experiences: Stays Abroad (please name stays only more than 4 weeks long) Country: Purpose of stay: Country: Purpose of stay: Language Skills: German English French Spanish Italian Turkish little average good fluent native Special Abilities/Knowledge/Skills:
Family Background Name(s) and profession(s) of parent(s) / legal guardian / : 1. 2. Address: Phone: Email: My parents are married / in a civil union / living together separated / divorced or: single parent deceased parent(s): Siblings (age): Emergency Contact Name: Address: Phone: Email: Other Information Do you hold a current driving license? yes no Do you smoke? yes no Do you require a special diet? yes no If yes, give details: Do you have any allergies: yes no If yes, give details: Do you have any health related limitations which could influence your work as a volunteer? (chronical conditions, injuries): yes no If yes, give details: Have you ever needed treatment, counselling or hospitalization for a psychological or psychiatric condition? yes no If yes, give details (when? what?):
Please write a letter of motivation in English. The letter should contain answers to the following questions: Please explain your overall motivation and describe your personal strengths and weaknesses! Why do you think you will be suitable for an EVS? Which competences can you contribute to projects? The EU supports the EVS to give disadvantaged and eligible young persons the opportunity to participate in a volunteer service abroad. Do you think you belong to this target group? (Du kannst den Motivationsbrief auch gesondert beilegen.)
Other notes and information that might be important: Ich versichere, dass die gemachten Angaben richtig sind I hereby confirm that the information provided is accurate: Signature Date Bitte sende Deine vollständig ausgefüllten Bewerbungsunterlagen an: Experiment e.v. Europäischer Freiwilligendienst Gluckstr. 1 53115 Bonn Bei dieser Bewerbung sind keine Zeugnisse oder Referenzschreiben gefordert. Falls du trotzdem Referenzen zu der Bewerbung hinzufügen möchtest, leg bitte keine Originale bei, da wir die Unterlagen nicht wieder zurücksenden können.