EUROPEAN VOLUNTARY SERVICE

Sending organisation:

Phone:

Fax:

Email:

Address:

Contact Person:

Please answer all questions, giving as much information as possible; it will really help in your application

First name/s: Male Female

Family name/s:

Date of Birth:

Age:

Address:

Tel (with international code):

Mobile (with international code):

E-mail:

Skype address:

When is the best time to contact you (please give your local time and our local time)?

PROJECT TITLE: UNA Exchange Volunteer in Wales placement

PROJECT DATES: 16th February to 16th August 2015

Do you have additional needs that you would like us to take into account, for example: dietary needs, problems of mobility, and/or physical or mental health and wellbeing? (Please be as honest as possible so that we are able to support you properly whilst on your project)

Are you taking any medication?

UNA Exchange EVS 2015, Volunteer in Wales placement

GENERAL INFORMATION

What are you doing at the moment? Are you working, studying, volunteering or unemployed?

Please tell us about your past work or studies: subjects, training, jobs:

Please tell us about any volunteering you have done:

What do you like to do in your free time?

Please summarise any travel experiences:

Please summarise what experience you have of living away from home/ by yourself:

Which languages do you speak and how well?:

Native/fluent:

Good:

Medium-Good:

Basic:

Are you having any language lessons?

Do you have a driving licence?

If yes, when did you pass your test?

Do you drive a car regularly?

Do you live in a city or in the countryside?

Which do you prefer and why?

EVS INFORMATION

Please describe your motivation for participating in European Voluntary Service.

What are your expectations, what do you hope to gain from it and what does being an EVS volunteer mean to you?

Why are you interested in this specific project?

What experiences, skills and knowledge do you think that you can ‘confidently’ contribute to this specific project?

What do you think the host is expecting from you?

What kind of challenges/difficulties do you think you will face on this EVS project in Wales?

Describe how you think you will cope being in a foreign country and with a different culture for 6 months.

PROJECT SPECIFIC INFORMATION- UNA Exchange:

Describe your experience of working with international groups and young people:

Give an example of how information can be recorded in a creative way:

What do you understand by ‘Youth Work’?

How would you feel about being based in an office for the majority of your project?

Do you have any experience of environmental work?

Do you have any experience of working with social media?

What are some of the main steps you would take when organising an event (briefly)?

How would you react to living in a shared house where another housemate is very messy/ untidy?

Is there anything else you would like to add?

Please be aware that if you are accepted you will be required to present a Certificate of Good Conduct from your host country (your sending organisation will know about this). You will then have to undertake a British criminal records check. Are you happy with this?

Y / N

Thank you for completing this application form – please email or send it as a word document to the details given at the top of the form and we will respond to you as soon as we have made a decision.

Michaela Rohmann – EVS Co-ordinator - UNA Exchange

UNA Exchange EVS 2015, Volunteer in Wales placement