Scrosoppi Sorgsentrum
 
Volunteer Application Form

 

Please ensure that you read and understand our Volunteer programme Terms and Conditions.

Complete the on-line Volunteer Application Form and submit.

Please print and complete the Indemnity Form duly signed by your legal guardian (where applicable) and then fax it back to us at +27 44 2720822 or scan the Indemnity Form and e-mail it to volunteer@scrosoppi.org. If required, your application will not be considered without the Idemnity Form fully completed, signed and in our posession.

 

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Personal Details
* Required information
 

Name(s): *

Surname: *

Sex:

E-mail: *

Repeat E-mail: *

Alternative E-mail:

Postal address 1: *

Postal address 2:

Town / City: *

Postal code / Zip code: *

Country: *

Mobile number (including country code and area code):

Telephone (including country code and area code):

Fax number(including country code and area code):

Passport no: *

Country of Issue:

Expiry date: *

Date of birth:

Age: *

Nationality/Citizenship:

Medical Insurance details:

 

  
Next of Kin / Emergency Contact Details
* Required information

Relationship to applicant: *

Name and Surname: *

E-mail:

Postal Address: *

Town / City: *

Postal code / Zip code: *

Country: *

Telephone / Mobile number (including country code and area code): *

Fax number (including country code and area code):

 

  
Skills, Education, Work Experience
* Required information

General Office Skills:

Home language:

Other languages (list):

Computer Expertise:

Organising Events:

Fundraising:

Experience working with children:

Additional information about skills that you are willing to share, please list:

Are you currently employed:

Field of Employment, past or present:

Will you be prepared to sign a Professional Conduct Liability Waiver form which includes a section on Sexual Abuse of Minors by Personnel, Volunteers included? *

Have you ever been found giulty of criminal offence in a court of law?: *
If so, please provide comprehensive details, if no, write not applicable:
   
References
* Required information
 
1st Reference

Relationship to applicant: *

Name and Surname: *

E-mail:

Postal Address: *

Town / City: *

Postal code / Zip code: *

Country: *

Telephone / Mobile number (including country code and area code): *
 
2nd Reference

Relationship to applicant: *

Name and Surname: *

E-mail:

Postal Address: *

Town / City: *

Postal code / Zip code: *

Country: *

Telephone / Mobile number (including country code and area code): *
 
Lastly  
 

Do you have special dietary needs? If yes, list them:

Are your vaccinations up-to-date?

Do you have a medical condition that could prove troublesome? If yes, provide details please:

Do you have an International Driver's License?

Pleae list any previous volunteer experiences, stating where and when:

What do you wish to gain from your volunteer experience?
   
If you are underaged, remember that the Indemnity Form has to be duly completed and returned to us as described above, before we can process your application.
   
*  Security Code:  
   
   
The St. Luigi Scrosoppi Care Centre is a registered Public Benefit Organisation No. 930010043
and
A registered Nonprofit Organisation No. 075-721-NPO