University of Melbourne
Community Volunteering for Change – Global
Project Application Form
FIRST NAME:
LAST NAME:
ADDRESS:
TELEPHONE:
EMAIL:
DOB:
GENDER:
CITIZENSHIP:
STUDENT NO:
DEGREE:
How did you hear about the project?
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Information session
Academic
Word of Mouth
University website
AVI website
Other (please describe) _______________________________________________________
Your personal information is required to assist us in determining if the Community Volunteering for
Change – Global Project is feasible for you at this time. Your disclosure is important to enable us to
assess and provide appropriate support to you during preparation and the project. The information that
you provide will be used by University of Melbourne and Australian Volunteers International (AVI) in the
recruitment process for this project only. If shortlisted you will have the opportunity to discuss your
responses with an interviewer. Stringent privacy guidelines are in place to protect you and your
information. Please note that we will refer to some of these questions in the interview process.
You are required to complete the section above, PART A and PART B below.
Please submit your completed application form along with your CV to
CVC_global@australianvolunteers.com
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Important: This year, CVC Global is hosting two projects in India and Indonesia over the same time period. You
only need to complete one application form to be considered for positions on both projects. Please mark the
boxes below with 1 indicating your first preference and 2 indicating your second preference. You will be allocated
to a particular project based on the best match between interests, skills, experience and needs of the project
partner organisations.
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India
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Indonesia
PART A
Are you pursuing any other opportunities that would affect your
ability to take up a position on this project?
Do you have any commitments or responsibilities which may impact
on your ability to carry out the activities of this project?
Do you have a previous conviction or offence? Including traffic
offenses if you have attended court.
Inclusion in the program will be subject to a national police check.
Do you have any legal proceedings pending?
Do you have any pre-existing physical, medical or psychological
condition that may impact on your ability to carry out the activities of
this project?
Please note that disclosure is strongly encouraged and will not
disadvantage you in the selection process. We will endeavour to
provide support for applicants through in-country management
plans, however participation is still subject to final medical
clearance by a medical professional and a risk management
assessment.
What assistance, physical, medical or psychological, may be
needed to assist you in carrying out the travel and activities
involved in this project?
Do you have any specific faith-based accommodations or
preferences?
Do you have at least one person who you could call on to act as
your personal referee? Please provide their contact details
Your application may require the support of a referee. A referee
would need to have known you for at least 2 years, and have
significant insight into your characteristics and circumstances.
Are there any other factors, not already covered in this
questionnaire, that may impact on your ability to depart and return
on the dates for this project and be fully involved in the activities
outlined?
Are there any factors that might impact your ability to attend or
complete any part of the pre-departure requirements of this project?
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PART B
1. Why is this particular project of interest to you? (Where do your motivations stem from? Why now? How
do the project objectives/activities fit in with your future career plan, current role, career building?)
2. What do you know about the work of the partner organisation overseas? Why are you interested in
working with this organisation?
3. What experience have you had in cross cultural environments and what did you learn from these
experiences? I.e. travelling, volunteering or exchange. Please list the countries, type of experience and
length of time. Working with different nationalities in Australia is also highly valued.
4. With volunteering comes responsibility and unexpected challenges. Can you describe a situation that
you have been in that was much more uncomfortable and difficult than you had anticipated? What did
you do to deal with the discomfort and difficulties? What was the result?
5. What personal challenges do you expect to encounter on this program?
6. How do you think you might manage these challenges?
7. Please outline in the section below how you can meet each of the selection criteria for CVC Global.
Please make sure that each criterion is addressed individually.
Sounds academic standing:
Motivation & commitment:
Flexibility & adaptability:
Cross-cultural sensitivity:
Ability to work with others:
Resilience:
Commitment to Child Protection Principles (http://www.australianvolunteers.com/about-us/policies/):
8. Are there any other skills you possess that will be of benefit to the project and/or partner objectives?
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