VSO ICS Volunteer Application Form Nigeria
VSO ICS is a youth centred community development programme, conducted in partnership between International Citizen Service (ICS), Voluntary Service Overseas (VSO) and our implementing partners. The three-month programme brings together young people (aged 18-25) from the UK and Nigeria. Each team will typically consist of 20 young people, with equal numbers coming from the UK and the host country. In carefully selected communities, volunteers work in placements fully supported by our implementing partner organisations and two full time VSO ICS programme supervisors. Together, in cross-cultural counterpart pairs, volunteers live with host families and work in the host communities. The type of work varies depending upon the needs of the community, but can include service delivery, advocacy work, and peer-to-peer education programmes. Through a programme of structured personal development and learning, ICS aims to create a cadre of young people who will make lifelong contributions as advocates for international development and as agents of social change within their own communities.
Completed forms should be returned to the VSO-ICS Team at Girls Power Initiative, Atimbo Road, Calabar, Cross Rivers State or Sent to foluwasho.adeniran@vsoint.org The deadline for submission is 23rd April 2013 at 5pm Only short listed candidates will be invited for the interview. Contact: 08174850003 Interviews will be conducted at: Girls Power Initiative (GPI) Atimbo Road Calabar, Cross Rivers State
VSO-ICS Volunteer Application Form, Nigeria
We do not ask for any specific skills or experience in our volunteers. We do however look for people who show the potential to learn and to become active Global Citizens. The 7 areas we focus on are listed below: Positive and realistic commitment to the programme A genuine commitment to learning Ability to solve problems Flexibility and adaptability Self confidence Ability to work with others in a team Sensitivity to the needs of others
In addition volunteers must be able to: Treat everyone equally and with respect Abide by and respect all laws, both of the UK and of the host country Abide by all rules and regulations established by VSO ICS to protect their health and safety Always stay within host communities, unless by prior agreement from their Programme Supervisor Respect the customs and cultures of host communities and specifically their host families Take part in all activities and phases of VSO ICS, including pre- and post- programme events
Volunteers must be sure that they can cope with the above standards of behaviour before they apply for the programme.
Personal Details
Title: Given Name(s): Family Name: Postal Address: Town/City: Marital Status: Date of Birth: Email Address: Mobile Number: State: Sex: Mr., Mrs., Miss., Dr., Prof., Sir., (Circle as appropriate)
VSO-ICS Volunteer Application Form, Nigeria
Background Details
1. How did you hear about International Citizen Service?
2. When will you be free to start your ICS volunteering?
3. Why do you want to volunteer on the ICS programme? From the list below, please tick up to three answers that best express why you want to go on the programme. You must also provide an answer to the question in your own words in the field provided. Personal growth Interest in international development Desire to understand more about poverty Gain new skills/experience Other *Describe your answer in your own words (no word limit but its a requirement) Interest in other cultures Travel Practice my language skills Meet new people
4. Are you willing and able to be away from home for a minimum of 3 months? (An ICS programme lasts for 3 months within Nigeria but maybe outside your home community)
VSO-ICS Volunteer Application Form, Nigeria
Yes, but only for 3 months Yes, for any timeframe No 5. When you return to your community, are you committed to undertaking action to share your experience with others in your local community or wider society? Yes No
6. What is your highest educational qualification? 7. What are you currently doing? (Please tick all that apply) Studying full-time Working full-time Volunteering National Youth Service Corps (NYSC) Studying on government training programme Other (please describe) Will any of your current commitments require any of your time over the 3 months even just a day here and there? ___________________________________________________________________________________ 8. Why do you want to volunteer on the ICS programme? From the list below, please tick up to three answers that best express why you want to go on the programme. You must also provide an answer to the question in your own words in the field provided. Personal growth Interest in international development Desire to understand more about poverty Gain new skills/experience Other *Describe your answer in your own words (no word limit but its a requirement) Interest in other cultures Travel Practice my language skills Meet new people Studying part-time Working part-time Training Year out / gap year Unemployed
VSO-ICS Volunteer Application Form, Nigeria
9. Which aspects of the ICS programme do you think that you would find the hardest and why? From the list below, please tick up to three answers which best express what you foresee to be the most challenging aspects about going on the programme. You are asked to also provide an answer to the question in your own words in the field provided. Being away from home Working in my community when returning Being able to lead or share skills with others Surviving without the comforts of home Staying in a Host Home Working in groups with others Being in an unfamiliar culture Doing the project / work placement Having skills that will be beneficial Other
*Describe your answer in your own words (no word limit but its a requirement)
10. Please state why you think you should be selected to be on the ICS programme? No qualifications, skills or experience are required to participate. We are interested in any motivations, circumstances, or interests that might make you a good candidate.
11. Have you volunteered before? If so please give brief details. Yes in Nigeria at Yes overseas with No *Describe what the concept of volunteering means to you (Mention the organisation) (Mention the Organisation)
VSO-ICS Volunteer Application Form, Nigeria
12. What languages other than your mother tongue can you speak (at a basic conversational level)? Having a language is not essential to be on the programme but helps us understand your language skills.
13. Have you ever stayed with people who are not your relatives? Yes No
Additional Personal Information
In order to ensure the ICS programmes is inclusive of all individuals within society and that we take on the required duty of care for participants, we need to collect some additional personal information. This information will be kept confidential and will only be used for reporting and planning purposes. It will not be linked to the selection criteria for your chosen programme. 1. 2. 3. Which best describes your ethnic origin? What religion, religious denomination or body do you belong to, if any? Do you consider yourself to have a major illness or disability? (A disabled person is someone with a physical or mental impairment which has a substantial and long term adverse effect on the ability to carry out normal day-to-day activities) Yes No
* If yes, describe the illness or disability (This is not a pre-request for selection, its only to help understand your medical condition so as to assist in time of need)
VSO-ICS Volunteer Application Form, Nigeria
Medical Information
In case you are accepted to be on the programme, you need to complete a medical history form below in order to be medically cleared. This is to ensure that any medical condition you may have can be managed on the programme and that we can provide the appropriate support for you. The information you provide below will enable us to begin this process. All data will be treated as confidential. In some cases, a Medical Advisor may wish to contact your doctor to get details. If this is the case, you will be contacted to seek your permission to do so. Your doctor will not be contacted without your permission. If you answer 'yes' to any of the following questions, please give details: 1. Have you ever had any major illness, operations or accidents? Yes * Give details: 2. Have you ever suffered from any mental/physical health problems? Yes * Give details: 3. Are you taking any type of medication, or have you taken any medication in the last two years? Yes * Give details: 4. Do you have any objections or allergic reactions to specific vaccinations or medication? Yes * Give details: No No No No
Police Record
1. Have you ever been convicted for any criminal offence? No Yes (If yes, give an account of what happened)
VSO-ICS Volunteer Application Form, Nigeria
2. Are you currently implicated in any case under investigation or being prosecuted in any case (Criminal or civil)? No Yes (if yes, give details of the case)
Referees
As a part of the selection process we need to speak to two referees, which we ask you to nominate below. The first referee, where possible, should be someone who knows you in a professional capacity ie. is a tutor / teacher / co-worker / religious or community group leader / manager, volunteer supervisor or Youth NGO or any other NGO leader. The second should be someone who has known you well for at least two years but with a traceable address. First Referee: Given Name: How Known: Address: Mobile Telephone: Email Address: Family Name:
Second Referee: Given Name: How Known: Address: Mobile Telephone: Email Address: Family Name:
Submit Application with the following Declaration
By completing this form, I agree that VSO through the International Citizen Service Programme will store and process my data in accordance with the requirements of their own Data Protection Policies and their Confidential Policies. They may pass my information to the relevant partner organizations in Nigeria and incountry staff, but will ensure that their counterparts continue to handle my personal information in accordance with their confidential and Data protection policies. They will hold any information I give them in order to
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VSO-ICS Volunteer Application Form, Nigeria
contact me about my volunteering options. That they would also like to keep me informed about the range of ways I can become involved with the International Citizen Service. Name: Date: Signature:
