Registration for the Federal Volunteer Service pertaining to Refugees2018/2019

Landesverband Badisches Rotes Kreuz

Ms Mr

______

SurnameFirst Name

______

Date of birth Place of birthNationality

______

Street + NumberPostcode City

______

Mobile Number

______

E-Mail(the invitation forthe interview will be sent by email!)

______

Residence status since when in Germany

______

Language skills / German-language skills

Qualification

(mark suitable fields)

Elementaryschooldiploma when? ______without graduation

Secondary schooldiploma when?______without graduation

High schooldiploma when?______without graduation

Technical High School diploma when?______without graduation

Professional qualification / employment: ______

Further skills: ______

______

Professional aims: ______

Motivation

I want to do the Volunteer Service because…______

______

Do you have a driving license for cars (valid for Germany)? yes no

Please turn the page!

Please complete also this page.

I would like to work in this field (you can tick several if you want)

Hospital

Retirement home

Residential home for disabled people

Nursery school

School

Assistance and support for refugees

Other wishes: ______

Our assignement locations are in the following areas:

1) Freiburg: Greater Freiburg area, southern Ortenau, Wolfach,Bad Krozingen,

Müllheim, Donaueschingen,Titisee-Neustadt,Nordrach

2) Baden-Baden: Karlsruhe, Rastatt and surroundings, Greater Baden-Baden area, Bühl, Achern, Kehl/AppenweiertillOberkirch and Offenburg

3) Bodensee: County Konstanz and Meersburg,Villingen-Schwenningen area

4) Lörrach: County Lörrach and County Waldshut-Tiengen

Region/town where you want to work:______

I agree with the fact that my personal data is stored

______

City, Date Signature ofthe applicant

Please, send your application to one ofthe following addresses:

1. Region Freiburg
Address:
DRK-Landesverband BadRK
Freiwilligendienste
Schlettstadter Str. 31
79110 Freiburg

Tel. 0761-88336-253 / 2. Region Baden-Baden
Address:
DRK-Landesverband BadRK
Regionalbüro Baden-Baden
Aschmattstraße 8
76532 Baden-Baden

07221-809562
3. Region Bodensee
Address:
DRK-Landesverband BadRK
Regionalbüro Bodensee
Mainaustr. 29
78464 Konstanz

07531-807122 / 4. Region Lörrach
Address:
DRK-Landesverband BadRK
Regionalbüro Lörrach
Spitalstraße 72A
79539 Lörrach

07621/ 686 1216

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