Mobile phone (Hungarian) – if you have

Family name
Given name(s)
Gender
Date of Birth
Place of Birth
Mother’s name
Citizenship
Mobile phone (your own)
Mobile phone (Hungarian) – if you have
E-mail address
Skype
ID Number
Passport Number
Social Security Number (EU Health Insurance Card)
Blood type
What languages do you speak?
Residency in your country
Number
Street
City
Postal Code
Country
Residency in Hungary
Number
Street	Orgona utca
City	Hollókő
Postal code
In case of emergency
Name of the contact person
Mobile phone number of the contact person
Landline phone number of the contact person
E-mail address of the contact person
Skype of the contact person
What languages does he/she speak?
Sending organisation
Name of the contact person
Phone number of the contact person
E-mail address of the contact person
Skype of the contact person
Date of your arrival to Hungary
Date of the planned departure to your country
Special diet
What allergy/allergies do you have? If any.
What medicine(s) do you take? If any.
Known phisical or psychological issue? If any, please describe!

Application Form

Do you have driving licence?
Do you have any special needs?
Do you have special diet?
Have you done Synergy training? If yes, when and which type?
Name of the sending organisation (SO)	UNION FORUM
Name of the EVS coordinator from the SO	Inga Vorobyova
E-mail address of the EVS coordinator from the SO	[e-mail]
Please list the languages you speak and indicate the level also. (basic, medium, good, fluent, excellent)
Describe your experience about living in a rural area, country side or a disadvantaged region.
Why do you want to do volunteer job in general? What are your previous experiences in volunteer work (if any)?
What makes you interested in this particular project?
What do you want to learn and develop during the project? (e.g. skills, knowledge, etc.)
What will be your contribution in the project?
Please write which of the underneath criteria are valid on YOUR situation: (EVS programme has the priority to support young people with less opportunity!)	Please write YES or NO!
Do you belong to a minority? (like gipsys or handicapted (mental and physical))
Did you finish high-school? (having no education or dropped out of school)
Do you have any geographical obstacles? (living isolated from society)
Do you live in a (post) conflict country?
Is your income below the national average? (you or your family earn less than the average in your country)
Are you coming from broken family?
Do you have lack of social skills? (missing the ability to interact in a common way with other people)
Have you ever been abroad? / Have you ever been away from your family?

Дата добавления: 2015-11-04