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Volunteer Enrolment Form
Hello!

Thank you for your interest in 14,4km's Volunteer Programme in both Germany and the Middle East and North Africa region.

Please fill out the form below so that we have an idea about you and your interests. (All your information will be held in the strictest confidence and will not be shared with third parties.)

Once we have processed your form we will be in contact via email.

All the best from the 14,4km team!

1. Personal details
Name, surname
Your answer
Email address
Your answer
Address (street, no., city, zip code, country)
Your answer
Date of birth
MM
/
DD
/
YYYY
Nationality
Your answer
Phone (home landline/office/mobile no.)
Your answer
Contact in case of emergency (name and phone number)
Your answer
Skype contact details
Your answer
2. Skills and interests
a. Educational background
What is your highest degree?
Other (please specify here):
Your answer
Name of the institution of higher education:
Your answer
The field of your studies (Studiengang) and number of semesters you have studied:
Your answer
Subjects included in your course (Studienf├Ącher):
Your answer
If you have already gained another degree, please name it here:
Your answer
b. Work experience
Current occupation (if not studies, or additional to studies):
Your answer
Work experience (only if relevant):
Your answer
Volunteering/internship experience (name of institution, dates, main tasks):
Your answer
c. Language abilities
Native language
Your answer
Other languages (specify level of proficiency according to EU scale A1 to C2)
Your answer
d. Hobbies, Interests
Your answer
e. Particular skills that you would like to name here (e.g. IT, art skills etc.)
Your answer
f. How would you describe yourself?
Your answer
3. Preferences in volunteering
a. Where would you like to volunteer?
If you want to volunteer with a partner organisation, which country do you prefer? (You can check more than one)
b. Is there a particular type of volunteer work you would prefer?
(Please check all that apply)
c. Is there a particular group you want to work with?
(Please check all that apply)
d. Are there any groups you would not feel comfortable working with?
Please explain below
Your answer
e. Is the internship a compulsory part of your studies (Pflichtpraktikum)?
4. Time frame
a. How long would you like to volunteer for?
Your answer
b. What is your time frame for volunteering?
Your answer
5. Availability
Only applies for those interested in volunteering with 14km e.V. in Germany
a. What times can you volunteer?
b. Do you have a preference for where you want to volunteer in Germany?
(If yes, please state where)
Your answer
c. Do you have access to a car that you can use during your internship?
6. Background verification
a. Have you ever been convicted of a criminal offence?
b. Have you ever been charged with neglect, abuse or assault?
c. Has your driver's license ever been suspended or revoked in any state?
d. Do you use illegal drugs?
e. Do you have any physical limitations or are you undergoing any treatment that might limit your ability to perform certain types of work?
f. Please list two non-family references whom we can contact for references (e.g. former teachers, supervisors, superiors)
Reference One (please list: name, institution, type of relation, phone/email)
Your answer
Reference Two (please list: name, institution, type of relation, phone/email)
Your answer
g. How did you find out about us?
If other, please explain below
Your answer
I hereby agree to the General Terms and Conditions of the 14,4km Volunteer Programme
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