RESOURCE HUB FOR DEVELOPMENT (RHD)
VOLUNTEER APPLICATION FORM
RHD – INTERNATIONAL VOLUNTEER REGISTRATION FORM
PRIVATE AND CONFIDENTIAL
Thank you for your interest in volunteering with RESOURCE HUB FOR DEVELOPMENT - RHD! The following form is intended to give us a complete profile of your background and your interests. As the form must be completed in one set, we suggest that you first write your responses in a Word Doc Format, and submit it back when you’ve answered all the questions. Please remember to have reviewed and have read: titles, activities and skills of the volunteer positions that interest you. Provide 2 references and their contact information and the additional documents required - CV/resume and 1- passport size photograph to complete your application.
PLEASE USE CAPITAL LETTERS
STEP 1
Personal Background
Title (Phd/Dr/Prof/Eng/Mr/Miss/Mrs)
Male / Female
Your Full Names
Date of Birth
Insurance Number (If known)
Do you have Passport? Yes/ No
Passport Number
Expiry Date
Home Address
Work/ University/ College (Name and Address if Any)
Telephone Contact - Home
Street
Work
Mobile
Town
Fax
Country of residence
Postcode
How would you prefer to receive information? (e.g. By e-mail, regular mail/ post)
Citizenship
Occupation/ Profession
Who should we contact if you are taken ill whilst volunteering?
Name
Relationship to you
Home Address
Work Phone
Mobile Phone
STEP 2
For Research Study
Do you plan on doing any independent research or work during your Volunteer stay?
Yes/ No
If yes, please describe briefly in the box below and send a research proposal or plan.
And what is your Interested Field of Research/ Study?
Level of Education
STEP 3
For Normal Programmes
Based on the positions posted on the volunteer page of our website, what position(s)/programme(s) interest you the most? Choose one
or two.
Volunteer Programme Field
Desired Start Date
Desired End Date
Highest level education obtained at time of application
What is the name of the institution from which this degree/diploma/certificate was obtained?
Area of Study
Do you have any experience studying or working in the Sub-Saharan Africa/ Developing Countries? If Yes, for how long?
Which Country
Field of Work/ Study
ENGLISH fluency level.
None: Nothing Beginner: I know some basic vocabulary and/or grammar. Intermediate: I can express myself in most situations and can follow most conversations. Basic: I can read and understand some texts and write basic descriptions of events and ideas. Advanced: I am able to communicate complicated ideas and contribute to professional discussions. I can easily understand most texts and can write in all verb tenses and sentence structures, Fluent: I am at ease in all social and professional situations and can convey subtleties in a professional manner, in speaking, writing and over the telephone, Native Speaker:
Additional Languages
STEP 4
Volunteer Reservation Choice
Are you comfortable sharing sleeping quarters with others if necessary? Yes/ No
What Type of Reservation would you like to choose? (e.g. Hotel, Host Family, Camping)
Would you like to share your bed with someone of the same sex if necessary? Yes/ No
Please confirm that you have read through our Volunteer guidelines, registration requirements and any other additinal responsibilities;
and that you are aware of the financial responsibilities of volunteers during their service, and that you have thought seriously about how you will ensure your financial situation during the length of the service to which you commit.
Yes, I understand that I will be responsible for my initial Travel expenses to the RHD office in Kenya, VISA and for the large majority of my living expenses, and I am financially ready to volunteer, be it through an outside scholarship, personal funds, or
other means.
No, I am not able to commit to an unpaid volunteer service; my commitment will be contingent upon my success in securing outside funding to support my service.
Would you be comfortable traveling/ tour places on your own within the country during weekends? Yes/ No
If No, would you be comfortable if given a guide by the organization? Yes/No
Do you have any dietary or physical considerations that the organization shoud be aware of? If so, please explain below
Reference
Please supply the names and addresses of two people aged 18 or over who know you well e.g. a neighbour, teacher, workmate, doctor,
boss, friend etc.
Please note that these cannot be someone who is related to you, who lives at the same address as you, or lives at the same address as the other referee.
1.
2.
3.
STEP 5
Volunteer Eligibility
What experience do you have as far as volunteering is concerned?
Please add any other information you think might be helpful. Are there any particular volunteer activities you do not want to do?
What skills/experience would like to offer?
Where did you find out about RHD Volunteer Programs? (i.e. from a friend, RHD website, GoAbroad Website, RHD Facebook Page,
OLX, RHD Twitter page, Global Peace Exchange, Linkedin, idealist.org, Coventry University Website among others.
Is there anything else that you feel the organization should know?
STEP 5
Criminal Offences
Do you have any unspent convictions or any pending case? Yes/No
If yes please give details
Please note that a conviction will not necessarily exclude you from volunteering with the RHD, but will be taken into account when
assessing your suitability. Any information given will be held in confidence.
DECLARATION
I understand that:
· I may be working with confidential material and I will keep this material confidential.
· Insurance for my personal effects is my responsibility.
· When my application is accepted, I will prepare and arrange my travel in coordination with the RHD office in Kenya.
· If the information declared on this form is found to be incorrect, it may disqualify me from this role, or result in the termination of my volunteering.
· I understand this agreement to volunteer at RHD is binding in honor only and is not intended to be a contract of employment.
· The RHD will take up references from the referees I've provided, and my volunteering is subject to these being satisfactory.
Signed…………………………………………………….. Date…………………………………………………………..
We understand your privacy is important to you. The personal information you provide to us will only be used for the purposes of managing your volunteering with RHD. If you have any concern about filling and signing this declaration, please contact the RHD Office.
Thank you for taking the time to complete the form.
For your application to be considered for this Volunteer Program, please return this Application Form to us.