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APPLICATION FORM
EVS
Thomastown Community Kindergarten
Thomastown Community Kindergarten Ltd.
Grennan, Rock Road, Thomastown, Co. Kilkenny, Ireland
phone +353 56 7754666 Email thomastownkindergarten@eircom.net
Thomastown Community Kindergarten Ltd. is a registered charity no. 14609
Thomastown Community Kindergarten
Thomastown Community Kindergarten is committed to providing high quality Steinerbased childcare, holistic education and family support services. As a community-based
project, we strive for social integration.
The volunteer will be in the Kindgergarten for 6-8 months helping the teachers in their daily
routine. The setting is a small rural town that will encourage the Volunteer to gain
knowledge of the Irish culture.
The Volunteer will be in the Kindergarten for approximately six hours a day.
Please attach a letter of motivation along with your application. There is no need to attach
anything else – only the completed application form and your letter of motivation.
We are planning on recruiting one volunteers for this project. At the moment, we will be
applying to 1 October 2015 deadline with the intention of volunteers’ placement lasting
from 1 February to 31 August 2016.
Please return by Friday 18 September 2015.
Please do not hesitate to email if you have any further questions.
Directors: Amy Lynch (Chair), Kirsten Frommann, Mary Deevy (Secretary)
The company is registered in Dublin Reg No : 361776
This Childcare project is funded by the Irish Government under the National Development Plan 2007-2013
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EVS
Thomastown Community Kindergarten
APPLICATION FORM
EVS
Thomastown Community Kindergarten
Thomastown Community Kindergarten Ltd.
Grennan, Rock Road, Thomastown, Co. Kilkenny, Ireland
phone +353 56 7754666 Email thomastownkindergarten@eircom.net
Thomastown Community Kindergarten Ltd. is a registered charity no. 14609
IMPORTANT: This form must be filled exclusively in English!
Information about the volunteer
The information you are asked to provide will serve the purpose of identifying the most suitable volunteer for
Thomastown Community Kindergarten. If you feel that the space provided for the answers is not sufficient,
you can continue writing on additional pages. Thank you!
Family
Name
Given
Name(s)
Street
Address
No
(Postal Code, Town, Province, Country)
Photograph
4
Home phone
Mobile
Email:
Male/Female
Date of birth
Place of birth
Nationality
Identity
 Passport
No
Document
 Identity Card
No:
Full family’s address
Tel
Name of Person to call in Emergency
Address
Telephone Number
What is your relationship to this person?
Do you smoke?
 Yes
 No
Do you have allergies?
 Yes
 No
If yes, specify
Directors: Amy Lynch (Chair), Kirsten Frommann
The company is registered in Dublin Reg No: 361776
This Childcare project is funded by the Irish Government under the National Development Plan 2007-2013
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Thomastown Community Kindergarten
32
APPLICATION FORM
Do you have any recurring mental or physical illness
EVS
Thomastown Community Kindergarten
 Yes
 No
If Yes please describe this illness and how it might impact on your role. Please note that a problem of this nature will not preclude
full consideration of your application
Sending Organisation Details
Name
Contact Person
Sending Code
Address
Email
Telephone Number
Website
PIP Number
Describe briefly your family and home and the town that you live in.
What are your hobbies?
Education / Qualifications
From / To
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School / College / University
EVS
Subject of Study
Thomastown Community Kindergarten
APPLICATION FORM
EVS
Thomastown Community Kindergarten
Volunteering
Please give details of any voluntary experience you may have.
From / To
Organisation
Main Duties / Responsibilities
Previous Employment
From / To
Organisation
Main Duties / Responsibilities
Reason for Leaving
Languages Skills
Language
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Fluent
Good
EVS
Basic
Thomastown Community Kindergarten
APPLICATION FORM
EVS
Thomastown Community Kindergarten
Describe your future plans after finishing EVS period with reference to studies or occupation:
What is your motivation for applying to do EVS?
What is your motivation for applying to Thomastown Community Kindergarten in particular?
Have you previous experience of working with young children from 2 years to 6 years.? How would you feel about
spending at least 4 hours per day with them – caring for them and interacting with them.
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Thomastown Community Kindergarten
APPLICATION FORM
EVS
Thomastown Community Kindergarten
Previous EVS Students in Thomastown Community Kindergarten have lived in Self Catering Accommodation sharing
with other people. They have also managed their own finances. How would you feel about this?
What are the challenges that you anticipate when volunteering in this type of project?
What are your expectations of a placement in Ireland?
Try to describe your personality and consider especially the following aspects: strengths/weaknesses, which values are
important for you,what role do friends play in your life.
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Thomastown Community Kindergarten
35
30
APPLICATION FORM
EVS
Thomastown Community Kindergarten
Volunteers are also required to produce two work/study related references, and a relevant police clearance
from the country that they are travelling from and information relating to medical history if appropriate.
Please give the name, address, telephone number and occupation of two referees, who would be in a
position to assess your skill, knowledge and aptitude for this post, preferably previous employer(s) or people
who know you in a professional or study capacity. These will not be contacted unless you are offered the position
of volunteer with Thomastown Community Kindergarten. It is not necessary to get references at this stage – it is only
necessary to get name of people who would be prepared to give a reference.
Name
Occupation
Relationship
To You
Address
Email
Telephone
Vetting of Volunteers
Because of the nature of our work with young children we need to know the following:
Do you have a criminal record or have you committed a criminal act in the past?
 Yes
 No
NB. This includes ‘spent’ convictions. If the answer is Yes, we may need to discuss it with you. It will not necessarily prevent you
from becoming a volunteer. If you wish, you may give further details below. If you are selected as a volunteer with Thomastown
Community Kindergarten, it will be necessary to get police clearance from your country.
DECLARATION
I declare that the information given on this form is complete and correct to the best of my knowledge and that I understand that
inaccurate or false information given may result in an offer of volunteering or placement being withdrawn. Application forms must
be signed and dated.
Applicants Name’s (Block Capitals)
Applicant’s Signature
Date
Please return completed forms to:
Bernie Wemyss
Thomastown Community Kindergarten Ltd.
Grennan, Rock Road, Thomastown, Co. Kilkenny, Ireland
telephone +353 56 7754666 Email thomastownkindergarten@eircom.net
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Thomastown Community Kindergarten
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