HOPE:Rwanda - Volunteer Application Form

I would like to volunteer in *:

Building Projects (Village of Hope)
Education
Medical Projects
Community & Enterprise Projects (Revival Palace)
Other Please specify:

Personal Details

First Name *

Middle Name

Surname *

Date of Birth (dd/mm/yyyy) *

Address *

Mobile *

Email *

Passport Details

Name on Passport *

Nationality *

Passport Number *

Expiry Date * (dd/mm/yyyy)

Emergency Contact Details

Name *

Relationship to you *

Mobile

Phone (after hours) *

Health History

Allergies

Current/Past Medical History

Current Medications

Resume & Police Check

Please attach a current CV

Do you have an Australian Federal Police Check within the last 2 years?

No
* To be considered as a team member it is compulsory to have a current Australian Federal Police Check
Yes

Please attach a current Australian Federal Police Check
Download a copy here (Enter "Code 28" where required)

References

Please provide details for a referee we can contact:

	Name	Position	Phone	Email
Pastoral
Employment

Do either of your referees have an association with Hope: Rwanda?

Relevant Qualifications

Name of qualification	Institution	Date completed

Registration Institute (if applicable)

Professional registration number

Skills and Experience

Please indicate below if you have skills and/or experience in any of the following:

Building/construction
Agriculture
Craft/Hobbies/Sewing
Plumbing
Medical
Child care
Electrician
Occupational Health & Safety
Counselling

Other skills/attributes you can offer Hope Rwanda

Volunteer Agreement *

If selected to be a member of this team I accept the responsibility of working as a team member and agree to cooperate with the decisions of the team management.

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