Questionnaire for Counseling Interview regarding Voluntary Commitment

Name: ______Date: ______

1. Why would you like to commit yourself voluntarily?

Receive creditMeet new people

Enjoy working on a voluntary basisOffer advice/support to other people

Make a practical contributionMake reasonable use of leisure time, organize daily routine

Make use of skills gained through job and / or a hobby

Become voluntarily committed for a specific period of time

______

______

2. What is/used to be your profession?

Controlling

Marketing/ Sales

 Personnel

 Public Relations

 Administration

Other:______

 in my position as:

______

3. What are your interests and hobbies?

______

Which of your corresponding skills and interests would you like to make use of regarding your voluntary commitment?

______

4. Have you been voluntarily committed before?

yes, namely ______

no

If you are intending to cease your current voluntary commitment: Why?

______

______

5. Time frame for your voluntary commitment

 weekly  monthly  flexible or

 specific time of day: ______hrs./week: ______
 one-time project, from ______to ______

When would you like to begin your voluntary commitment? ______

6. Which personal characteristics are typical for you:

Eager to learnDynamic and active

Open to other ways of living and thinkingStrong will

Self-confidentPractical thinking

ReliableCraftsman skills

PatientGardener skills

SensitiveKnowledge of human nature

Sense of humorOrganizational skills

Good team workerCommercial skills /EDP knowledge

Your 3 most important characteristics are: ______

______

7. Do you already have an idea of the area you would like to become voluntarily committed in?

 Realization of own ideas for our community:______

 Social work (with kids, senior citizens, disabled persons, migrants, people experiencing

difficult circumstances, ...)

Culture

Sports and leisure time activities

Politics

Environment / nature

Other:

Your preferred areas / topics are:

______

8. Which field of work would you prefer for your voluntary commitment?

Care / support: ______Listening / talking, playing board games, homework support for pupils, taxi services, administrative activities like visiting authorities, bank appointments, etc.)

Craftsmanship: ______

Gardening

Organizing individual projects, excursions, etc.

Office work: Paper work, telephone service

 Support with regard to accountancy

Public Relations: e.g. designing brochures, homepages, supporting

sales campaigns

 Fundraising: e.g. attract funds, develop fundraising concepts

Support with regard to legal questions

Retail sales activities

Support with regard to specific topics, namely: ______

Sports: ______

Other: ______

9. What are your wishes and expectations regarding your voluntary commitment?

______

10. Are there any areas or activities you would like to specifically exclude?

______

11. Where should your workplace be located at?

______

12. Is there any training you would like to receive in advance?

______

13. Is reimbursement of expenditures important for you?

yes, namely ______ no

14. Your expectations regarding the voluntary workers agency:

Support with regard to finding a suitable commitment Support throughout the duration of the voluntary commitment

Advice regarding the realization of new projectsPossibilities to exchange experiences

No expectationsOther:

______

Agreements

Organization contacted by:

Organization will call back

Voluntary worker will call organization

Appointment already arranged during counseling interview

Time and date for next counseling session:

Voluntary worker has not yet made a decision; agency calls him/her again in ______days

Suggestions made by agency:

______

______

Contact: Stadt Herzogenaurach - Sport- und Ehrenamtskoordination – Marktplatz 11 –

91074 Herzogenaurach – Telephone: +49 (0) 9132 / 901-111 – E-Mail: