Lattitude Global Volunteering Applcation

Thank you for downloading the Lattitude Global Volunteering application form
Simply fill in the below form and email it back to us at volunteer@lattitude.org.uk 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 were 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 dont 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 youre honest throughout your application. If 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 volunteer@lattitude.org.uk. More 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!

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1. Personal details
Name
First & middle names as on passport Surname as on passport

Date of birth

Gender

Nationality

2nd Nationality

Contact address
Country Post / zip code

Home telephone number

Country code

Mobile telephone number

Country code

Email address 1

Email address

Skype ID

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 and would like to be contacted by our Bursary Coordinator for further information, please indicate this below (with an x). More information on our bursaries can be found on our website. Yes, I would like to be considered for a bursary* No, I do not wish to be considered for a bursary

*If you are interested in applying for the bursary scheme, please ensure that you send in the bursary application form along with this application form. The bursary application form is available for download at the same time as this application. Please enquire at bursary@lattitude.org.uk if you have any questions

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3. 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 Work type Relates to the job role at the placement: Education: Can be a teacher, English teacher or schools assistant post Environment: Environment conservation work Community: Community outreach worker or similar Caring: A role that involves caring, whether at orphanages, care centres, or similar Medical: Refers to Medical Assistant placements in Red Cross Hospitals; available in Japan Outdoor: Outdoor education work, either as an assistant instructor or camp counsellor Wildlife: Wildlife conservation in an animal rehabilitation centre, currently only available in Costa Rica Greater detail as to the work types available in each country can be found on the website www.lattitude.org.uk alternately, please feel free to contact us for more information.

The Americas
Argentina
Work type
3 4 1 2 5

Ecuador
Departure Duration
4 months 4 months 4 months 4 months 4 months 4 months 5 3 4 1 2

Work type

Departure Duration
5 months 5 months 5 months 5 months 5 months 5 months

Community Aug 2012 Education Aug 2012

Community/Teachin Aug 2012 g Education Aug 2012

Community Mar 2013 Education Mar 2013

Community/Teachin Feb 2013 g Education Feb 2013

Community Aug 2012 Education Aug 2012

Community/Teachin Aug 2013 g Education Aug 2013

Please apply at least 3 months prior to departure month

Please apply at least 4 months prior to departure month

Africa

Lattitude Global Volunteering Applcation

Ghana
Work type Departure Duration

Malawi
Work type
4 5 Community Education Environment 1 Community Education Environment

Departure Duration
Aug 2012 Aug 2012 Aug 2012 Jan 2013 Jan 2013 Jan 2013 6 months 6 months 6 months 6 months 6 months 6 months

2 1 3

Education Education Education

Sep 2012 Feb 2013 Sep 2013

5 months 5 months 5 months

Please apply at least 4 months prior to departure month

2 3

Please apply at least 4 months prior to departure month

South Africa
Work type
Community Education Outdoor Community Education Outdoor

Departu re
Jan 2013 Jan 2013 Jan 2013 Jan 2014 Jan 2014 Jan 2014

Duratio n
5.5 months 5.5 months 5.5 months 5.5 months 5.5 months 5.5 months

1 2 3 4 5

Please apply at least 5 months prior to departure month

Asia

China
Work type
Education

Departur e
Feb 2013

Duration
5 months

Japan
Work type
Community Medical

Departu re
Sep 2012 Sep 2012 March 2013 March 2013 Sep 2013 Sep 2013 March 2014 March 2014

Duration
6 months 6 months 6 months 6 months 6 months 6 months 6 months 6 months

Ful l Ful l

Community Medical Community Medical Community Medical

Please apply at least 4 months prior to departure month Due to popularity of these placements you are advised to apply as soon as possible

Vietnam
Work Departur Duration

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type
Education

e
Aug 2012 4.5 months

*Please note there will be no departures to Vietnam after August 2012 Please apply at least 4 months prior to departure month

Australia and the Pacific

Australia
Work type
Education Education full full Outdoor Outdoor Education full Outdoor Education Education Outdoor

Departur e
Jul 2012 Jul 2012 Jul 2012 Jul 2012 Jan 2013 Jan 2013 Jul 2013 Jul 2013 Jul 2013

Duration
11 months 5 months 11 months 5 months 5 months 5 months 11 months 5 months 5 months

Fiji
Work type
Community/Teac hing Community/Teac hing Community/Teac hing

Departu re
Aug 2012 Jan 2013 Aug 2013

Duration
3 months 7 months 3 months

Ful l

Please apply at least 4 months prior to departure month

Please apply at least 4 months prior to departure month

New Zealand
Work type
Education Outdoor Education Education

Departur e
Jul 2012 Jul 2012 Jan 2013 Jul 2013

Duration
12 months 12 months 6 months 12 months

full full

Please apply at least 4 months prior to departure month

UK & Ireland
UK
Work type
Communit y Full Full Education Outdoor Communit y Education

(Not open to UK or Irish applicants)

Departur e
Sep 2012 Sep 2012 Sep 2012 Jan 2013 Jan 2013

Deadline
May 2012 May 2012 May 2012 May 2012 May 2012

Ireland
Work type
Community

Departur e
Sep 2012 Sep 2012 Jan 2013 Jan 2013 March

Deadline
10 Aug 2011 10 Aug 2011 21 Oct 2011 4 May 2012 4 May 2012

Full Full

Education Community Education Community

Full

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2013 Outdoor Outdoor Jan 2013 Mar2013 May 2012 May 2012

4. About you
Why do you want to volunteer?
(Most people write about 300 words. Simply be honest, we are not trying to trick you. Any queries, please let us know)

What do you hope to gain from the experience?

(Most people write about 300 words. Simply be honest, we are not trying to trick you. Any queries, please let us know)

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 a placement that suits you. 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)

5. Education

Lattitude Global Volunteering Applcation

Do you have a degree?

Yes No

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 studied at Grade Achieved Subject Level studied at Grade Achieved

6. Languages
Please list any languages you speak including your first language, ticking () the box which best describes your level of proficiency based on; Basic: can read, speak and understand simple language Proficient: can engage in conversation, read and write Fluent: fluent in all aspects of the language, near native-like competency

Oral
Language Fluent Proficient Basic Fluent

Written
Proficient Basic

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7. Special requirements
Please indicate if you have any of the following requirements
Ye s Ye s Ye s Ye s No No No No I have specific dietary requirement (i.e. vegetarian) I have an allergy / allergies I have physical accessibility requirements I have other requirements that may impact upon final placement choice / country

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

8. Medical history
Are you currently on any medication? Are you currently undergoing medical investigations or treatment? Do you regard yourself as being disabled? Ye s Ye s Ye s N o N o N o

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

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Have you ever had or do you now suffer from any of the following
Ye s Ye s Ye s Ye s Ye s Ye s No Anorexia, bulimia or other eating disorder Anxiety, depression or other psychiaritric illness Asthma or any other lung disease Back, neck or joint conditions Diabetes Dyslexia, autism, aspergers syndrome or other learning difficulties Yes N o N o N o N o N o Glandular fever, chronic fatigue syndrome or ME Hearing impairment Stomach or other bowel problems Visual impairment (not including glasses) Any other significant illness or operation

No No No

Yes Yes Yes

No

Yes

No

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.

1st referee

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Tit le

i.e. Mr

First name

Surname

Position / job title

Relationship to you

Email address

2nd referee
Tit le i.e. Mr First name Surname

Position / job title

Relationship to you

Email address

10. Interview
We encourage all potential volunteers to have a face to face interview where possible. However, due to timings or geography this is not always ideal. Therefore we are also happy to offer a telephone interview. In order for us to arrange the appropriate interview, please indicate the convenience of each interview face to face location with a 1 for the most convenient and a 3 for least convenient. Alternatively, please indicate if you would like a telephone or Skype Video interview. Please note: We will endeavour to arrange an interview at your first choice location but due to interviewer availability this is not always possible. Face to face Reading Leeds Glasgow Telepho ne Sky pe

11. 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.

Lattitude Global Volunteering Applcation

Do you have any unspent criminal convictions? If yes to the above, please provide details below:

Yes

No

Do you have any spent convictions or have you ever Yes been cautioned, reprimanded or given a final warning by the police? If yes to the above, please provide details below:

No

12. 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
Careers fair Career centre School talk School advisor Google Year Out Group gapyear.com Gap-year.com Connexi ons UCAS Newspa per Magazin e Friend Ex voluntee Parent other

How would you describe your ethnic origin?

Asian Black Asian British Other Asia Other Black Mixed: White & Black African Other mixed Other White

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

How would you describe your religious beliefs / background?

Christian Sikh Prefer not to say Hindu Atheist Jewish Other Mu slim None

13. Declaration and data protection

a. Declaration

Lattitude Global Volunteering Applcation

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 protection
The 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 : Nam e:

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

By submitting this application form your contact details shall be used to update you on Lattitude Global Volunteering news and other updates. If you do not wish to receive this please indicate below: No, I do not wish to receive news and other updates from Lattitude Global Volunteering

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 volunteer@lattitude.org.uk

Lattitude Global Volunteering Applcation

Further information about applying through Lattitude Global Volunteering

The application process If 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 volunteer@lattitude.org.uk Who can apply? Lattitude Global Volunteering wants young people, whatever their nationality, to volunteer with us. We have placements in 17 countries around the world. We have offices in the UK, Australia, Canada and New Zealand and recruiting centres in Ecuador, Germany, Ghana, Japan, Mexico and Singapore. Our experience working with embassies is limited to the countries where most of our volunteers come from. If you do not hold a passport from the UK, Ireland, Canada, Australia, New Zealand or the other countries we recruit from you must do some research before you apply to make sure that you can volunteer with us. This is also the case if you live in the UK, Ireland, Canada, Australia, New Zealand or the other countries we recruit from but do not hold a passport from these countries. Please note that there may be restrictions on the documents Lattitude Global Volunteering are able to acquire for your visa application. If you fall under the criteria outlined above please email volunteer@lattitude.org.uk for further information and guidance before completing the application form. 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 application

The majority of volunteers find Section 4. 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.

Lattitude Global Volunteering Applcation

Please provide details of any current or previous work experience, including any paid or voluntary work experience Any experience no matter how small, mentoring a younger student at school; regularly walking your neighbours dog or part time work in a supermarket; all are relevant here.