Centre for the Rehabilitation of the Paralysed (CRP)
Volunteer Application Form

SECTION 1: To be completed by all applicants

First name

Family name

Address


Town/City
Post/Zip code

Country

E-mail Telephone Fax

Nationality Passport number

Date of birth

Gender

Details of partner/family/dependants who are travelling with you
Names

Details

Are you registered as a disabled person?

Do you have any medical condition you feel we should know about?
If yes, please give details

Emergency contact person
Name
Address


Town/City
Post/Zip code

E-mail Telephone Fax

Have you ever been convicted in a court of law for any offence except for minor traffic violations?
If yes, please give details

How did you find out about CRP?
Extra details

Desired arrival date

Desired departure date

SECTION 2: To be completed only by short term volunteers (3 months or less) Long-term volunteers please proceed to section 3

Is there a particular area/activity in which you would like to volunteer?

Details of any Higher Education


Details of any Relevant Training

Brief Work Experience

Extra curricular activities/interests/skills

Please state why you are interested in volunteering at CRP?

Name two referees with position, address and contact number (they will be contacted only at the final stage)
Referee's name 1
Position

E-mail Telephone

Referee's name2
Position

E-mail Telephone

If you would like to elaborate on the above categories, or give any other information, please do so below:

SECTION 3: To be completed only by long-term volunteers (more than 3 months)

Position/Department
Extra details

WORK EXPERIENCE

How many years of post-qualification experience do you have?

Present of previous employer

Employers name

Employers address

Job title and main responsibilities

Reason for leaving (if already left)

 

Have you worked in your professional capacity in a developing country?
If yes, please give details

EDUCATION AND TRAINING

Please give details of colleges and/or universities attended and of relevant training courses

Name and address of institute

Attended from to

Qualifications and grades achieved (copies of certificates will be required)

Which country are you registered in?

Date of full professional qualification

Name of professional body

Number and type of registration

Any other relevant information regarding your qualifications, experience or availability if necessary

INTERESTS

Extra curricular activities/interests/skills

Please state why you are interested in volunteering at CRP?

Name two referees with position, address and contact number (they will be contacted only at the final stage)
Referee's name 1
Position

E-mail Telephone

Referee's name2
Position

E-mail Telephone

If you would like to elaborate on the above categories, or give any other information, please do so below:

Long-term volunteers and foreign staff will need to complete an FD-9 Form for the NGO Affairs Bureau. Please save the form as a text file and e-mail to CRP. Photographs and other documents will also be required.
Click here for FD-9 Form
Click here for exemplar contract

If you have any queries about applying to volunteer at CRP, please e-mail CRP for advice.
Home
Top