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Thank you for downloading the Lattitude Global Volunteering application form

Simply fill in the below form and email it back to us at [email protected]

The application form is not designed to catch you out or ask you trick questions. Its job is to give us an insight into who you are. Along with an informal interview it helps us to match you up to a placement that is best suited for you. Candidates are not expected to have previous overseas experience; any variety of life experience can be used to demonstrate your ability to be a good volunteer.

If a programme excites you, however challenging it may appear, we encourage you to apply. We all have things that we’re good at and things that we struggle with a little. Our past experiences shape who we are and allow us to bring a richness and diversity to the people we work with. Finally – don’t worry about filling the application in. It is not a job application, merely a tool to help us get to know you. All we ask is that you’re honest throughout your application.

If you get stuckIf you get stuck whilst filling out the application form or if you need specific information about a placement to inform your decisions then please feel free to call us on 0118 959 4914. We are a friendly bunch and will be happy to answer your questions for you. If it is out of office hours, or you would rather an email response, then please email us at [email protected].

More InformationMore information about the application form, who can apply as well as hints and tips on filling it in can be found at the bottom of the document.

Although the form is several pages, it will not take you very long to fill out. And the sooner we receive it back, the sooner we can get your volunteer experience started!

APPLICATION FORM

1. Personal details

Name

First & middle names as on passport Surname as on passport

Date of birth Gender Nationality 2nd Nationality

(If applicable)

Contact address

Country Post / zip code

Home telephone number Mobile telephone number

inc country code inc country code

Email address 1 Email address 2

(optional)Skype ID

(optional)

2. Bursary

Lattitude Global Volunteering has a Bursary Scheme which enables us to provide financial assistance to young people whose circumstances make it particularly difficult for them to volunteer overseas. If you think you may qualify for this scheme please indicate this below (with an ‘x’).

Yes, I would like to be considered for a bursary*

No, I do not wish to be considered for a bursary

*In order to apply for the bursary scheme you MUST agree to the terms andconditions outlined in the bursary information page on the Lattitude Global Volunteering website. You MUST also submit a separate Bursary application along with this form.

3. Education

Do you have a degree?

YesNo

If yes:

University name Subject studied Dates attended

Please provide information of any past, current or future studies in further education (e.g. A levels, International Baccalaureate, AS levels, Scottish Highers, BTEC Nationals):

School / College name City / country Dates attended

Subject Level Grade Subject Level Grade

4. Languages

Please list any languages you speak including your first language. Please describe your level of proficiency by:Basic: can read, speak and understand simple languageProficient: can engage in conversation, read and writeFluent: fluent in all aspects of the language, near native-like competency

Language Fluent Proficient Basic

APPLICATION FORM

5. Placement Choice

Please list your first 5 preferences by writing the number 1 – 5 in the boxes provided with ‘1’ being the most preferred and ‘5’ being the least preferred. Please put numbers in only 5 boxes

Please note, more information on how to fill in section 5 as well as a summary of the work types indicated is available on the last pages of this application form

Argentina Volunteer Work Type Departure Month & Duration

Community Worker August 2014 (4 months)August 2015 (4 months)

March 2015 (4 months)March 2016 (4 months)

English Teacher August 2014 (4 months)August 2015 (4 months)

March 2015 (4 months)March 2016 (4 months)

Schools Assistant August 2014 (4 months)August 2015 (4 months)

March 2015 (4 months)March 2016 (4 months)

Australia Volunteer Work Type Departure Month & Duration

Outdoor Education July 2014 (11 months) January 2015 (5 months)

July 2014 (5 months)July 2015 (5 / 11 months)

Schools Assistant July 2014 (11 months) January 2015 (5 months)

July 2014 (5 months)July 2015 (5 / 11 months)

Canada Volunteer Work Type Departure Month & Duration

Outdoor Education January 2015 (7 months) January 2016 (7 months)

March 2015 (4-8 months)March 2015 (4-8 months)

Outdoor Education with Caring

January 2015 (7 months) January 2016 (7 months)

March 2015 (4-8 months)March 2015 (4-8 months)

Schools Assistant Sept 2014 (12 months) Sept 2015 (12 months)

China Volunteer Work Type Departure Month & Duration

English Teacher Sept 2014 (5 months) Sept 2015 (5 months)

Feb 2015 (5 months) Feb 2016 (5 months)

Ecuador Volunteer Work Type Departure Month & Duration

English Teacher Sept 2014 (5 months)Sept 2015 (5 months)

Feb 2015 (5 months)Feb 2016 (5 months)

English Teacher with Community / Caring / Environment

Sept 2014 (5 months)Sept 2015 (5 months)

Feb 2015 (5 months)Feb 2016 (5 months)

Fiji Volunteer Work Type Departure Month & Duration

Teaching with Community

August 2014 (3 months)January 2015 (7 months) May 2015 (3 months)August 2015 (3 months) January 2016 (7 months)

Jan 2015 (3 months)Jan 2015 (11 months)May 2015 (8 months)Jan 2016 (3 months)Jan 2016 (11 months)

France Volunteer Work Type Departure Month & Duration

Caring Sept 2014 (11 months) Sept 2015 (11 months)

Schools Assistant Sept 2014 (11 months) Sept 2015 (11 months)

Ghana Volunteer Work Type Departure Month & Duration

Teaching Feb 2014 (5 months)Feb 2015 (5 months)

Sept 2014 (5 months)Sept 2015 (5 months)

India Volunteer Work Type Departure Month & Duration

Caring Assistant Feb 2014 (4.5 months) Feb 2015 (4.5 months)

August 2014 (4.5 months)August 2015 (4.5 months)

English Teacher Feb 2014 (4.5 months) Feb 2015 (4.5 months)

Feb 2014 (4.5 months) Feb 2015 (4.5 months)

Teacher Feb 2014 (4.5 months) Feb 2015 (4.5 months)

Feb 2014 (4.5 months) Feb 2015 (4.5 months)

Japan Volunteer Work Type Departure Month & Duration

Caring Assistant Sept 2014 (6 months)Sept 2015 (6 months)

March 2015 (6 months)March 2016 (6 months)

Medical Assistant Sept 2014 (6 months)Sept 2015 (6 months)

March 2015 (6 months)March 2016 (6 months)

£2650

£2650

£2450

£2250

£2450

£2450

£2450

£2450

£2250

£2450

5. Placement Choice (continued)

Malawi Volunteer Work Type Departure Month & Duration

Environment Worker (inc Conservation)

August 2014 (4 months)Jan 2015 (6 months)August 2015 (10 months)

August 2014 (10 months)August 2015 (4 months)Jan 2016 (6 months)

Medical Assistant August 2014 (4 months)Jan 2015 (6 months)August 2015 (10 months)

August 2014 (10 months)August 2015 (4 months)Jan 2016 (6 months)

Teacher August 2014 (4 months)Jan 2015 (6 months)August 2015 (10 months)

August 2014 (10 months)August 2015 (4 months)Jan 2016 (6 months)

Teacher with Community / Caring

August 2014 (4 months)Jan 2015 (6 months)August 2015 (10 months)

August 2014 (10 months)August 2015 (4 months)Jan 2016 (6 months)

New Zealand Volunteer Work Type Departure Month & Duration

Outdoor Education July 2014 (11 months)July 2015 (11 months)

Jan 2015 (5 months)Jan 2016 (5 months)

Schools Assistant July 2014 (11 months)July 2015 (11 months)

Jan 2015 (5 months)Jan 2016 (5 months)

Poland Volunteer Work Type Departure Month & Duration

Schools Assistant Sept 2014 (5 months)Sept 2014 (5 months)

Feb 2015 (5 months)Feb 2015 (5 months)

Summer Schools Assistant

July 2014 (2 months)July 2016 (2 months)

July 2015 (2 months)

South Africa Volunteer Work Type Departure Month & Duration

Outdoor Education July 2014 (2.5 months)July 2014 (11 months)Jan 2015 (11 months)July 2015 (6 months)

July 2014 (6 months)Jan 2015 (6 months)July 2015 (2.5 months)July 2014 (11 months)

Outdoor Education with Environment / Community

July 2014 (2.5 months)July 2014 (11 months)Jan 2015 (11 months)July 2015 (6 months)

July 2014 (6 months)Jan 2015 (6 months)July 2015 (2.5 months)July 2014 (11 months)

Schools Assistant July 2014 (2.5 months)July 2014 (11 months)Jan 2015 (11 months)July 2015 (6 months)

July 2014 (6 months)Jan 2015 (6 months)July 2015 (2.5 months)July 2014 (11 months)

Schools Assistant with Caring

July 2014 (2.5 months)July 2014 (11 months)Jan 2015 (11 months)July 2015 (6 months)

July 2014 (6 months)Jan 2015 (6 months)July 2015 (2.5 months)July 2014 (11 months)

Vanuatu Volunteer Work Type Departure Month & Duration

Teaching with Community

June 2014 (6 months)June 2015 (6 months)

Jan 2015 (6 months)Jan 2016 (6 months)

Vietnam Volunteer Work Type Departure Month & Duration

English Teaching June 2014 (3 months)August 2014 (5 months)Feb 2015 (4 months)August 2015 (4 months)Feb 2016 (4 months)

August 2014 (4 months)Feb 2015 (3 months)June 2015 (3 months)August 2015 (5 months)Feb 2016 (3 months)

£2450

£2650

£2450

£2450

£2450

£2250

6. About You

Why do you want to volunteer? (Write about 300 words)

What do you hope to gain from the experience? (Write about 300 words)

What qualities / skills do you have that make you suitable for a voluntary placement? (Again, please try to be honest, it helps us to match you to a placement that suitsyou. Examples could be; sporty, play a musical instrument, member of a drama group etc)

Please list your interests and hobbies

Please provide details of any current or previous work experience, including any paid or voluntary work experience

Please provide details of any other relevant experience (this could include Cadets, community clubs. Duke of Edinburgh, Fist Aid, life guard, sports coaching etc)

Do you hold a valid driving licence?

Yes No

APPLICATION FORM

7. Special requirements

Please indicate if you have any of the following requirements

Yes No I have specific dietary requirement (i.e. vegetarian)Yes No I have an allergy / allergiesYes No I have physical accessibility requirementsYes No I have other requirements

If yes to any of the above, please provide details below

8. Medical history

Are you currently on any medication? Yes No Are you currently undergoing medical investigations or treatment? Yes No Do you regard yourself as being disabled? Yes No

If yes to any of the above, please provide details below:

Have you ever had or do you now suffer from any of the following:Yes No Anorexia, bulimia or other eating disorder Yes No Glandular fever, chronic fatigue syndrome or MEYes No Anxiety, depression or other psychiaritric illness Yes No Hearing impairmentYes No Asthma or any other lung disease Yes No Stomach or other bowel problemsYes No Back, neck or joint conditions Yes No Visual impairment (not including glasses)Yes No Diabetes Yes No Any other significant illness or operationYes No Dyslexia, autism, asperger’s syndrome or other learning difficulties

If yes to any of the above, please provide details below:

9. Referees

We like to contact other people that know you in order to get an external opinion about your skills and personality; this helps us further to match you to a placement that will suit you. So please provide the details of two people that you have known for at least one year. This person should know you in a professional capacity. This could be a teacher, tutor, employer or other person. But not a relative or a friend.

Referee 1:Title First Name Surname

Email Address

Relationship (i.e. teacher / tutor / employer

Referee 2:Title First Name Surname

Email Address

Relationship (i.e. teacher / tutor / employer

10. Selection days, fundraising workshops and interviews

We strongly encourage all potential volunteers to attend a Selection day, incorporating introduction to Lattitude and fundraising seminars as well as a chance to meet our Volunteer Coordinators. Attending will give you a head start on your volunteer journey and enable Lattitude staff members to best assess your strengths, in turn allowing us to match you more accurately to a placement that best suits you. However, we also understand that you may not be able to travel to Reading in order to attend so we also provide alternative options for you.

YES I will attend a Selection day in Reading

No, unfortunately I cannot attend a Selection day; I will instead have an interview via: (please select one. If you are attending an assessment day please leave blank)

Face to face Leeds Face to face Glasgow Skype (video) Telephone

APPLICATION FORM

11. Monitoring statistics

(these statistics assist Lattitude Global Volunteering in monitoring their applications, they do not count towards your application)

Please let us know where you heard about Lattitude Global Volunteering

If you heard about us at an event or school talk, which one?

If you heard about us via a friend or ex volunteer, who was it? (we would like to say thanks)

How would you describe your ethnic origin?

How would you describe your religious beliefs / background?

12. Convictions

If accepted as a Lattitude Global Volunteering volunteer you will be required to complete a police record check. In advance we would like you to answer the questions below. You are not obliged to answer the following questions but having this information in advance will help us find the right placement according to your specific situation.

Do you have any unspent criminal convictions? Yes No

If yes to the above, please provide details below:

Do you have any spent convictions or have you ever been cautioned, reprimanded or given a final warning by the police? Yes No

If yes to the above, please provide details below:

13. Declaration and data protection

a. Declaration•The information that has been provided on this form is complete and correct in every detail•I have declared all medical conditions or regular medication taken

b. Data protectionThe data on this form will be stored and processed in order for Lattitude Global Volunteering to administer its services. In order to administer the services overseas, limited data will pass outside of the UK. Please sign below to indicate that the information in this form is accurate to the best of your knowledge as outlined in declaration (a) and that you understand the above regarding the use of personal data (b) and have given consent to use the data within this form to continue processing your application as needed.

Date: Name: ( we are happy for you to type your name opposed to signing)

Great! You have now finished your Lattitude Global Volunteering application form. All you have to do now is attach it to an email and send it to us at [email protected]

Careers fair Google Connexions Friend Career centre Year Out Group UCAS Ex volunteer School talk gapyear.com Newspaper Parent Advisor gap-year.com Magazine other

Asian Asian British Other Asia Black Black African Other Black Chinese Mixed: White & Asian Mixed: White & Black African Mixed: White & Black Caribbean Other mixed White British White Irish Other White Prefer not to say

Christian Hindu Jewish Muslim Sikh Atheist Other None Prefer not to say

APPLICATION FORM

Further information about applying through Lattitude Global Volunteering

The application processIf you would like further information about how the application process works then please see our website: http://www.lattitude.org.uk/how-to-apply/. Alternately please feel free to contact us either by calling 0118 959 4914 or emailing [email protected]

Programme availability Lattitude Global Volunteering encourages volunteers to apply as early as possible. We are unable to guarantee availability on a particular programme even if your application is received before the specified closing date. We ask that all volunteers remain flexible throughout the application process.

Hints for writing your applicationSection 5...

Section 6...

The majority of volunteers find Section 6. the most challenging to complete, which is why we have outlined some tips below.

Why do you want to volunteer?Reflect on your various motivations for applying to Lattitude Global Volunteering. Why is this particular programme important to you?

What do you hope to gain from the experience?Think about skills that you would like to develop, for example communication, language, sports skills; what sort of challenges you feel you will meet and how you will get over them. You could also include any relevant cross cultural experiences or if you have limited experience outline your understanding of these differences and how you would work through these on your placement. You might be interested in a particular country or placement type because of your plans for future study, for example, languages, international development, conservation, teaching or medicine.

What qualities / skills do you have that make you suitable for a voluntary placement? Outline qualities and skills you currently hold and give examples of where you think these will be useful whilst volunteering. You might be extremely level headed, have an excellent sense of humour, play regular sports or enjoying looking after small children for example.

Please list your interests and hobbies.Think about all your interests and hobbies, especially those that you would like to use whilst on your placement.

.........................................................................................................................................

If you have any questions or concerns, please contact us at:

E: [email protected]: 0118 959 4914

APPLICATION FORM

Understanding the work type volunteers undertake:Caring Assistant: Such as working in a home for people with disabilities, in Canada caring can be offered

in conjunction with Outdoor Activities

English Teacher: Role involving teaching classes English, usually with a focus on conversational English. Volunteers will also be encouraged to help with extra curricular activities

Medical Assistant: Working in a hospital or health centre environment aiding the staff in a range of health related tasks

Schools Assistant: Aid full time staff across a range of tasks, generally Schools Assistants are involved with many extra curricular activities such as sports, music, drama etc

Teacher: A responsible role and one that is exceptionally rewarding. We will help match you to a school where your academic strengths can be best utilised. Volunteers will also be encouraged to help with extra curricular activities

Greater detail as to the work types available in each country can be found on the website. Alternately, please feel free to contact us for more information.

Example: How to indicate your placement preference:Argentina Volunteer Work Type Departure Month & Duration

Community Worker August 2013 (4 months) March 2014 (4 months)

English Teacher August 2013 (4 months) March 2014 (4 months)

Schools Assistant August 2013 (4 months) March 2014 (4 months)

The example highlights a first choice of Argentina, on a community placement departing in March 2014, with a second choice of a placement in Teaching English departing in August 2013.

12

Example