Getting to Know You
Thank you for your interest in joining Dr Klown.
At the moment we are looking to strengthen our Event Teamonly.
These are the volunteers who play an important role during events organised by Dr Klown to increase public awareness about our work in hospital and to raise funds.
Our Event Team volunteers are also valuable partners when we have to attend events organised by our benefactors and sponsors, like a CSR activity, a charity event, a Christmas Market, a sports event, etc. They may also be called upon to be present during media events.
Those events are regularly taking place during weekends and business hours, so it requires some flexibility from the Event Team volunteers.
The Event Team volunteers go dressed as clowns and receive artistic training in entertaining healthy children in public (not to be confounded with Klown Doctors, who work with sick, hospitalized children).
Our complement of Klown Doctors is full at the moment and we do not foresee to start another recruitment campaign in the coming two years.
However, should members of the Event Team feel attracted to becoming a Klown Doctor, they will be given serious consideration and accepted to take part in the selection programme, described below.
The whole process of joining as a volunteer starts with an Application Form, which you will find attached. Please complete it and send it to .
The selection process of volunteers consists of:Psychological tests; An Assessment exercise; Interviews; A group audition (only for Klown Doctors)
The criteria used to evaluate your application are:
- Personality
- Availability
- Commitment
- Talent
Indeed, starting as a volunteer with Dr Klown is signing a PACT, a long lasting agreement, whereby the NGO invests in your training and development, while you give your talent, skills and time for the NGO in return.
If this is what you are looking for, we’re looking forward to receiving your application form as an Event Team volunteer
Dr Klown Application Form for Volunteers
Getting to Know You
Mss. / Mrs / Mr / Your name and surname:Address:
Telephone: / Mobile
E-mail: / Date of birth:
Please add a relatively recent photo of yourself to your application
Why do you wish to join Dr Klown?How often can you give time towards this project? / [_] Don’t know [_] Once a month [_] Once a fortnight [_] Once a week [_] Twice a week
How much time would you have available per visit to MD Hospital to perform as a Klown? / [_] Don’t know [_] 1 hour [_] 2 hours [_] 3 hours [_] Half a day (4 hours or more)
During what time of the day can you make yourself available? Tick all boxes with times possible for you. / [_] 9am to Noon [_] Noon to 4pm [_] 4:30 to 7pm [_] Weekend [_] Other
If you marked Other, please specify:
How long can you commit yourself to this project? / [_] 6months [_] One Year [_]2-3 years [_] 4-5 years [_] more than 5 years
If the above doesn’t allow you to answer clearly, please specify:
What skills and experience do you have that you consider could be of value to contribute to the Dr Klown organisation?
Do you have experience with performing or speaking in public (small and/or large groups)? / [_] Never [_] Rarely [_] Occasionally [_] Regularly [_] Often
Do you have experience with story telling, telling jokes, acting, role play, entertaining family or friends? / [_] Never [_] Rarely [_] Occasionally [_] Regularly [_] Often
Do you have experience performing as a clown? / [
_] Never [_] Rarely [_] Occasionally [_] Regularly [_] Often
To what degree do you consider yourself ready to start as a clown with children in MD hospital? / [_] Not at all [_] A beginner [_] Extra training a must [_] Almost ready [_] Ready to GO!
Are you involved in other volunteer work?
If yes, which organization(s)?
How much time do you spend in this volunteer work? / Yes / No
Do you consider doing this work as unpaid volunteer? / YES / NO (circle your answer)
Do you have experience with working at Hospital? / YES / NO (circle your answer)
Do you have experience with working with vulnerable or sick persons? Please mention how.
- I will be able to submit a police conduct on being recruited with Dr Klown: YES / NO (circle your answer)
- The person I would choose as my referrer is ______
- I am willing to take part in events to promote Dr Klown outside the hospital environment: YES / NO (circle your answer)
What is your highest achieved educational level?
What is your major field of study?
If you are employed at the moment, what position do you hold? In which organization?
What are your regular working hours?
What are your actual hobbies?
What languages do you speak fluently?
What describes your status best (circle): Single – In a stable relation – Married – Married, with children – Separated – Divorced
Is there any other relevant information you would like us to know?
On behalf of the Dr Klown team: Thank you for answering the questionnaire!
ConfidentialPage 110/24/2018