EUROPEAN VOLUNTARY SERVICE
IN POLAND
Volunteer application
Please use typed letters while filling out this application form and use as much space as
you need to express yourself!
Personal data
Surname:
First name:
Sex:
Female / Male
Place of birth:
Date of birth:
Nationality:
Passport Number:
Home address:
Telephone:
Mobile:
E-mail address:
Emergency contact person
Name:
Who is this person to you (friend, family member, etc.):
Address:
Telephone:
E-mail address:
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Curriculum vitae
Please describe briefly the defining characteristics of your personality (your
character, strengths, weaknesses, values, role of friends and family in your life,
importance of school/education and work, etc.).
Present situation (working, studying or something else).
Volunteering experiences (If you have any experience, please specify in what
organizations and when did you do the volunteer work, what type of work was it and
what responsibilities did you have?).
Experiences abroad or in international contexts with people from other countries
and cultures (please specify).
Language skills.
Nr
Language
1.
2
3.
4.
Level : mother tongue/fluent/good/basic/ beginning
Hobbies and interests (cultural, social, leisure activities, sport, music…).
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European Voluntary Service (EVS) project
Which project are you applying for?*
EI Ref. number:
Organisation:
* Should you want to apply for more hosting projects, please fill in only this part for all of them.
Why did you choose this particular project?
Explain what makes you think that you would be a suitable volunteer for this project
Describe your expectations concerning volunteering in this hosting organization and
your possible contribution to the hosting project.
Please describe your motivation and expectations connected with participation in
the European Voluntary Service Programme in Poland.
Other experiences, skills and knowledge that you have and that you think might
be useful for carrying out the volunteer tasks in your hosting organization.
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Which difficulties do you think you will have to face abroad, living in another
culture with a different set of values and what do you think you can learn from this
experience?
Please indicate your availability.
Starting date:
Number of months:
Who is your sending organization?
Name:
Address:
Website:
e-mail:
tel. number:
contact person:
What are your plans after EVS?
Additional information
Do you belong to the group of young people with any of fewer opportunities
mentioned below? If yes, please give a short explanation.
Educational difficulties (early school-leavers, etc.)
Social difficulties (discrimination of any kind, drug
problems, broken families, etc.),
Economic difficulties
Disability
Cultural differences
Health problems
Other: please specify:
Geographical difficulties
4
Do you have any other special needs or medical conditions that the organization
should be aware of (special diet, vegetarian, allergies, mobility problems, medical
treatment, personal support, etc.)?
How did you find out about this hosting project (if in Internet, which website)?
Have you applied for EVS with other organizations as well? If so, to which
organizations?
No
Yes (please mention the organization(s))
The application form together with CV (preferably in English) and picture should be sent to us by e-mail to:
m.kaczor@schuman.org.pl
with the subject : “EVS Application for project no. XXXX-PL-XX” depending to the hosting project you are applying to)
More information: www.schuman.org.pl
………………………………
Place and Date
European Voluntary Service projects are financed by the European Commission within the „Youth in Action”
Programme.
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