Allegato a Domanda di volontariato
Fondazione Francesca Rava – N.P.H. Italia Onlus
Nuestros Pequenos Hermanos – I nostri piccoli fratelli
V.le Premuda, 38/a
20129 Milano
ITALIA
Tel +39 0254122917
E mail [email protected]
Fax 0255194958
Photo
VOLUNTEER APPLICATION
If you apply for Civil Service please check:
Please fill in in English (optional for Latinamerica : Spanish)
using a typewriter !
NAME: ........................................................................ BIRTHDATE: .........................................................
ADDRESS: ......................................................................................................................................................
MARITAL STATUS: ................................................. TELEPHONE: .......................................................
PRESENT EMPLOYMENT: .................................... E-MAIL: ................................................................
PROFESSION: ...............................................................................................................................................
PARENTS´ OCCUPATION: .......................................................................................................................
RELIGIOUS AFFILIATION: .....................................................................................................................
NUMBER OF SIBLINGS: ................................................................................................................
WHEN AVAILABLE AND HOW LONG: ..............................................................................................
CHECK OR GIVE ORDER OF MISSION PREFERENCE:
LANGUAGE: (SP=SPEAK; RD=READ;
WR=WRITE - 1=MINIMAL; 2=MID-LEVEL;
3=FLUENT):
HONDURAS: ........... HAITI: ...........
NICARAGUA: ......... MEXICO: .......
GUATEMALA: ....... El SALVADOR: .......
SPANISH: SP: ....
FRENCH: SP: ....
ENGLISH: SP: ....
RD: .... WR: ....
RD: .... WR: ....
RD: .... WR: ....
PLEASE BE SURE THAT YOU ATTACH THE FOLLOWING:
- A RECENT PHOTO
- A RESUME STRESSING SKILLS; EDUCATIONAL BACKGROUND; JOB AND
TRAVEL EXPERIENCE
- A SHORT PARAGRAPH ON “WHY I WISH TO WORK FOR NUESTROS PEQUEÑOS
HERMANOS”
PLEASE STATE WHICH QUESTION YOU ARE REFERRING TO: PLEASE WRITE IT
YOURSELF: IF YOU USE A TRANSLATION WE ASK YOU TO INCLUDE YOUR PERSONAL
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ITALIAN TEXT. WE REQUEST THAT YOU
GIVE AN HONEST ANSWER. ALL
INFORMATION IS; HOWEVER, VOLUNTARY:
CHECK ANY OF THE FOLLOWING IN WHICH YOU HAVE EXPERIENCE OR PROFICIENCY:
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
TYPING .........................................................................................................................................
SHORTHAND ...............................................................................................................................
ACCOUNTING .............................................................................................................................
RELIGIOUS EDUCATION ..........................................................................................................
SPORTS EDUCATION ................................................................................................................
ARTS & CRAFTS .........................................................................................................................
PHOTOGRAPHY ..........................................................................................................................
SEWING ........................................................................................................................................
CARPENTRY ................................................................................................................................
CREATIVE WRITING .................................................................................................................
MAINTENANCE...........................................................................................................................
MEDICINE/LAB: ..........................................................................................................................
NURSING ......................................................................................................................................
PHYSICAL THERAPY .................................................................................................................
SPECIAL EDUCATION................................................................................................................
SWIMMING ..................................................................................................................................
COMPUTER ..................................................................................................................................
TEACHING, SUBJECTS...............................................................................................................
OTHER ..........................................................................................................................................
1. PLEASE DESCRIBE AN IMPORTANT EXPERIENCE IN YOUR LIFE AND WHY IT WAS
IMPORTANT:
2. HAVE YOU WORKED WITH CHILDREN? IN WHAT CAPACITY? WHAT DO YOU LIKE
MOST ABOUT WORKING WITH THEM?
3. IS THERE ANYTHING WHICH YOU DISLIKE ABOUT WORKING WITH CHILDREN?
4. HAVE YOU EVER HAD TO DEAL WITH CHILDREN WHO NEEDED DISCIPLINE? IF YES,
HOW DID YOU DISCIPLINE THEM?
5. WHAT WOULD YOU DO IF YOU DISCOVERED THAT A CHILD HAD STOLEN SOMETHING HIGHLY VALUED THAT BELONGED TO ANOTHER CHILD?
6. IN A FEW SENTENCES, DESCRIBE A CHILD YOU KNOW PERSONALLY:
7. NAME THREE PEOPLE WHOM YOU ADMIRE, LIVING OR DEAD, AND EXPLAIN WHY:
8. WHAT IS YOUR GOAL IN LIFE?
9. WHAT WOULD YOU DESCRIBE AS YOUR STRENGTHS AND YOUR WEAKNESSES?
WHAT ARE YOU DOING TO OVERCOME YOUR WEAKNESSES?
10. HAVE YOU HAD ANY EXPERIENCE WITH THE COMMUNITY? WHAT DID YOU LIKE
ABOUT IT? WHAT HAVE YOU THOUGHT NEEDED IMPROVED?
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11. WHAT DO YOU EXPECT TO FIND AT NUESTROS PEQUEÑOS HERMANOS?
12. WHAT DO YOU EXPECT TO GET OUT OF YOUR EXPERIENCE AS A VOLUNTEER?
13. WHAT IS YOUR RELIGIOUS BACKROUND AND WHAT DOES RELIGION MEAN TO
YOU?
14. PLEASE STATE WHAT YOU MOST LIKED AND DISLIKED FROM YOUR PAST JOB
RESPONSIBILITIES:
15. WHAT WOULD BE YOUR JOB PREFERENCE AS A VOLUNTEER?
16. WE NEED THE NAMES AND ADDRESSES OF THREE REFERENCES. SOMEONE WHO
HAS KNOWN YOU FOR THE LAST THREE YEARS. SOMEONE FOR WHOM YOU HAVE
WORKED (NO PARENTS OR BEST FRIENDS):
(1) Name: ................................................................................................................................................
Address: ............................................................................................................................................
Remarks: ...........................................................................................................................................
(2) Name: ...............................................................................................................................................
Address: ............................................................................................................................................
Remarks: ...........................................................................................................................................
(3) Name: ...............................................................................................................................................
Address: ............................................................................................................................................
Remarks: ...........................................................................................................................................
17. WHO REFERRED YOU TO NUESTROS PEQUEÑOS HERMANOS?
-Only for conscientious objectors18. PLEASE STATE WHY YOU DECIDED TO GIVE AND ALTERNATE SERVICE
OVERSEAS?
STATEMENT OF COMMITMENT:
If I am accepted as a volunteer, I will commit myself to the following values shared by all
members of the community:
Professionalism (accontability, punctuality, etc.)
Service expressed through hard work
Participation in activities concerning the spiritual development of the children and staff
Genuine interest, respect and openess to the culture and people of the country.
SIGNATURE: ....................................................
DATE: ................................................................