SCI-IVS
APPLICATION FORM FOR LONG TERM VOLUNTEERS
Today's Date: 
Project(s) you are applying for: 
1.
2.
3.
1. Family Name:				First Name:  
2. Present Address:  
Country:  		 Telephone:				E-mail:  
Home Address (if different):  
Country:  		 Telephone:
3. Nationality: 
4. Date of Birth:  
5. Sex:  
6. Dates between which you are available to start a voluntary service: 
    State how long you wish to serve (minimum and maximum): 
7. Passport Number 		Issued by: 			Expiry date:
8. Experiences with SCI, workcamps, branch/partner activities, working groups, being camp co-ordinator, etc: 
9. Previous work experience (paid and/or voluntary work):
10. Present occupation/studies/training scheme etc. following or just completed: 
11. What are your plans for the time after the LTV?
12. References (workcamp coordinators, earlier employers, etc., but no relatives):
	Name			Organisation/Institution		Email and telephone
1.
2.
3.
13. Languages:
		Speak			 Write			Read
		Good Fair Slight 	Good Fair Slight	 	Good Fair Slight
1. ________
2. ________
3. ________
4. ________
5. ________
14. Are you already insured? If so please give details 
15. Would it be possible for you to visit the project beforehand?  
16. Any serious accidents, illnesses, handicaps, allergies, mental problems or depressions? Specify:
17. How did you hear about the position?
Please answer to the following questions on a separate paper (maximum three pages for all questions)
A. In which fields would you like to do your voluntary service?
B. Experiences with communities or other long term projects: 
C. Skills you would like to mention such as practical, artistic, domestic, intellectual, driving licence etc.: 
D. How do you like to spend your free time? 
E. What is important to you in life?
F. Write about your motivation to be a long term-volunteer. Explain as fully as possible why you are applying for this post and what you envisage both contributing and learning from the experience.