Volunteer Application Form
You can download the Application Form in PDF format Here
VOLUNTEER APPLICATION FORM
1. Personal Information
Name: _________________________________________________ First Middle (Maiden) Last
Sex: Male/Female______ Birth date__________./__________. /________/ D M Y
Birthplace:_________________________________________ City State Country
Citizenship:_________________
Passport Number _________________ Place of Issue________________________
Date of Issue______________________ Expiration Date____________ Present Address:__________________________________________
Telephone number: Home_______________ Work_________________ Mobile: _________________ Evening: _______________ Fax: ____________________ Email (s) _________________________________________________
Permanent Address (if different from above)
2. Education Qualification / Training
High School__________________________________________________
College_______________________________________________________
Universities_____________________________________________________
Others____________________________________________________________
Special Skills_______________________________________________________
Specific programmes that interest you___________________________________
3. Volunteer Participation Objectives
Outline in detail your personal objectives in wanting to volunteer in Cameroon
4. Focus of Volunteering:
Education HIV/AIDS Education Agriculture Health and Social Well-being Participation and Governance Computer Training Secure Livelihood Gender Issues Adult Education Others (Please Specify) Nursing Orphans Youth Development Community Development
5. Duration / Availabilities:
Can start when_______________________End when________________________ Number of hours per day___________________________ Number of hours per week___________________________
6. Accommodation: Host Family Renting
7. Preferred Language of work: English /French
8. Milieu of work: Urban Rural
9. Special needs (please state any special requirement in respect of) Diet e.g. Vegetarian, religious or medical)
Executive Director, Cameroon Association for the Protection and Education of the Child (CAPEC) BP 20646 Yaoundé, Cameroon Tel+237 2030163 Mobile: (+237) 77 75 16 06 Fix(+237) 220 30163 Email:info@capecam.org capecam20@yahoo.com Website: www.capecam.org
11. Declaration
I certify that the information I have given is accurate and complete and I understand that CAPEC can use it for the purposed intended without notice and I also undertake to do the following if my application is granted; a. Pay part of my volunteer fees for my arrangements b. Acquire a visa for myself and arrange for my travel c. Acquire a medical insurance for myself before my departure to Cameroon
Signature___________________________ Date____________________________
Please provide two References:
