Volunteer Application Form R4A Malawi
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Volunteer Application Form R4A Malawi

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Volunteer Application Form R4A Malawi Volunteer Application Form R4A Malawi Document Transcript

  • Page 1 RECYCLE 4 AFRICA VOLUNTEER APPLICATION FORM Recycle 4 Africa in conjunction with Eco Green Training NGO No 165490 (Malawi Registration) is calling all volunteers to help us help others through recycling. R4A – Postal Address – P. O. Box 1005, Mzuzu, Malawi Telephone: +27722465122 Susan Volunteer Co-ordinator Skype: recycle4africa1 Personal / contact details: Date / / Name Address Phone 1 Phone 2 Email address Preferred method of contact Current occupation / study  Work  Study  Full time  Part time Details:  Work  Study  Full time  Part time Details: Emergency Contact Details: Name:
  • Page 2 Relationship to you: Phone 1: Phone 2: Period of Stay: Please indicate the dates of arrival and departure. _____________________________________________________________________________________ Please indicate Type of Travel: ______________________________________________________________________________________ Recycle 4 Africa will not be held responsible for the travel to and from Malawi. We will however make arrangements for meeting in Mzuzu. Birthday Referees. Please provide the name and contact details of at least two referees: Name:  Male  Female Phone1: Phone2: Relationship to you: Name:  Male  Female Phone1: Phone2: Relationship to you: Name:  Male  Female Phone1: Phone2: Relationship to you: Experience and qualifications. Please provide details of experience relevant to this role Please tick any of these skill areas if they relate to you:  Training or education in teaching or tutoring  Experience teaching or tutoring school students  Experience teaching English as a Second Language  Speciality knowledge in a particular VCE subject area
  • Page 3  Experience working with young people  Experience working with people from refugee or migrant backgrounds Please elaborate on these experiences in the space below: Languages spoken Other voluntary work Hobbies / Interests Why are you interested in becoming an OSHLSP volunteer tutor? Please indicate your availabilities in the space below Where did you hear about this program? Personal Information: Age  <18 Gender  Male  Female Language spoken at home? Highest education qualification achieved? Passport No Passport Expiration Date? Medical Aid No?  18-25  26-35  36-45  46-55  55+ View slide
  • Page 4 Medical Aid Name? Person to contact in an emergency? Address of Next of Kin? ID No (if RSA)? Privacy statement: The personal information on this form is being collected for the purposes of recruiting and selecting volunteers wishing to work at Recycle 4 Africa icw Eco Green Training. The information may also be required for evaluation purposes. Any evaluation reports developed will not identify individual volunteers by name. This information may be shared with Support Program partner organisations and funding bodies.  Please tick if you would like to receive regular newsletters for tutors working in Out of School Hours Learning Support Programs.  By signing this form, the volunteer acknowledges that they will abide by the laws that govern the country of residence.  By signing this form, the volunteer acknowledges that he/she, will not hold Recycle 4 Africa, or any other of the organisations sub contracts, liable for any accidents, damage to property, health, or any unforseen incidents that occur in the country of residence.  Medical – it is a requirement of all volunteers to ensure that he/she has medical cover, in the event of transport to point of origin. By signing this form I attest that the information supplied is true and accurate. I understand that submitting this application form does not automatically register me a volunteer tutor but that there is a selection process including completion of a satisfactory Working With local community villages and participation in training of ECO GEYSER AND ECO LIGHTS manufacture. I confirm that I am willing to volunteer as a project/tutor for at least a two week period and to attend Recycle 4 Africa & Eco Green Training a minimum of 5 days. Signature: Name: Date: Reference for Volunteer: EGR001 Receipt Number for Payment: Recycle 4 Africa icw Eco Green Training is committed to the safety and wellbeing of all children and young people accessing our service. We support the rights of the child and will act without hesitation to ensure a child-safe environment is maintained at all times. We also support the rights and wellbeing of View slide
  • Page 5 our staff and volunteers and encourage their active participation in building and maintaining a secure environment for all participants. Eco Green Training provides the following: • Accommodation in our ECO CENTRE and hostel. B&B Accommodation is also available at greatly reduced prices. • Cost of the volunteering for a month would be US$400.00 includes accommodation and 2 meals a day. What you will be doing: • Training is provided by Recycle 4 Africa, to volunteers on how the manufacture and installation of the ECO GEYSERS AND LIGHTS are manufactured. Approx 1 week training. It is then off to the local villages to install at needy centres. • Providing training to unemployed youth in the areas of Eastern Cape Boarder regions, on how to establish their own “Recycling Centres”. • The importance of recycling for our future. • Trips to schools in the area, to talk about recycling and the benefits of reducing our impact on the environment. • Manufacture of ECO GEYSER & ECO LIGHTS, which are donated (and installed) by our volunteers in veracious schools and orphanages in the area. • Help with the ECO COMPANY RELAY (COMPANIES FORM A TEAM AND MANUFACTURE ECO GEYSERS AND LIGHTS) Which are then installed by our volunteers at orphanages sponsored by RECYCLE 4 AFRICA. What we do with the funds you pay: • Cost of feeding and accommodation, per volunteer. • Portion of the funds go to a trust for each village community centre Recycle Buy Back Centre establishment. Minimum Stay: • Minimum stay is two weeks. • Maximum stay is two months. Longer volunteering can be arranged ahead of time. THIS IS A VERY REWARDING VOLUNTEERING OPORTUNITY. WE PROVIDE COMFORATBLE ACCOMMODATION, PLENTY OF TIME TO VISIT OUR LOCAL NATURAL FAUNA AND FLORA OF MALAWI. PLEASE HELP US TO HELP OTHERS. VOLUNTEERS REQUIREMENTS Volunteers will be required to bring the following items for their stay in Malawi: Please ensure that these items are in good order: As we will be working with recycled materials, please ensure you are properly attired: Volunteer Guide Contents Items: No 4 1 4 1 1 Description Builders Felt Gloves Builders hard hat Builders Overalls Pair Gum Boots Safety Boots or similar working shoes Packed Yes/No
  • Page 6 5 3 1 1 1 1 1 1 Long Sleave light T-Shirts Plastic Glasses Safety Goggles Prior to Departure Valid Passport for period of stay Tetnis Injection } Approximate cost is R900.00 for all Yellow Fever } Hepatitis B } Prophylactics for Malaria Tablets Funds for Sim Card in Malawi Banking details for Volunteer Deposits: Costs for Volunteering: US$ 200.00 per month/or part thereof inclusive of accommodation and Food. Please pay into the following account Ned bank: Type – Cheque Account Acc No: 1056736062 Branch Code: 180005
  • Page 6 5 3 1 1 1 1 1 1 Long Sleave light T-Shirts Plastic Glasses Safety Goggles Prior to Departure Valid Passport for period of stay Tetnis Injection } Approximate cost is R900.00 for all Yellow Fever } Hepatitis B } Prophylactics for Malaria Tablets Funds for Sim Card in Malawi Banking details for Volunteer Deposits: Costs for Volunteering: US$ 200.00 per month/or part thereof inclusive of accommodation and Food. Please pay into the following account Ned bank: Type – Cheque Account Acc No: 1056736062 Branch Code: 180005