Centre for the Rehabilitation of the Paralysed (CRP)
Application Form for Professional Volunteers

I would like to apply for the post of

PERSONAL DETAILS

Name

Father's name


Address

Country

Telephone Fax E-mail

Nationality Passport number

Are you registered as a disabled person? Yes No

Age (select) Gender (select)

Do you have a partner/family who wish to accompany you? Yes No

Details of Dependants who are travelling with you

Names

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? Yes No
(Excluding any experience in country of domicile)

If yes please state how many months spent in developing countries

Briefly describe what you did

When are you available to start working at CRP?

How long are you available to work at CRP?

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

Please give details of hobbies and interests outside of work

Please state why you are interested in working at CRP

How did you find out about CRP?

 

Name two referees with position, address and contact number (they will be contacted only at the final stage)

Name Name

Position Position

Address Address

Telephone Telephone

E-mail E-Mail

Can CRP contact these referees now? Yes No

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.
Please e-mail CRP for advice.
Click here for FD-9 Form
Click here for exemplar contract
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