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Volunteer Form

Before you fill in this form, please read about our current volunteer opportunities .

(A)

Basic information

Gender

Male Female

Date of birth

Day Month Year

Family name

First name(s)

Permanent address 1

Address 2

Town

Post code/zip code

Country

Telephone

E-mail

Occupation

In which country/ies do you want to volunteer?

When do you want to volunteer?

If you have already volunteered with A Rocha, please list the National Organisations you were with

Beliefs

(B)

What kind of opportunity are you seeking?

Full-time
Long-term / gap year
Short Term
Occasional

(C)

Languages

Please list the languages you speak

(D)

Conservation & wildlife identification skills

Have you any special knowledge of habitats?

Yes No

If yes, please give details

Identification skills:

Other (please state)

Have you any related experience in trapping, collecting or surveying?

Yes No

Geographical area of expertise

(E)

Admin and computer skills

Other (please state)

(F)

Miscellaneous skills

Other (please state)

Driving licence

Yes No

Details of vehicle categories and/or restrictions

(G)

Additional information

Do you have any particular dietary requirements?

Do you have any medical conditions that could affect your volunteering? (eg asthma, diabetes)

Why do you want to volunteer with A Rocha, and what do you hope to gain from the experience?

(H)

In the event of an emergency, whom should we contact?

Name

Address 1

Address 2

Town

Post code/zip code

Country

Telephone no/s

E-mail

Relationship to you

(I)

Referees (please give details of 2 referees who know you well)

Referee 1: Name

Address 1

Address 2

Town

Post code/zip code

Country

Telephone no/s

E-mail

Relationship to you

Referee 2: Name

Address 1

Address 2

Town

Post code/zip code

Country

Telephone no/s

E-mail

Relationship to you

In the UK, under the Rehabilitation of Offenders Act*, since A Rocha staff and volunteers may be concerned with the provision to persons aged under 18 of leisure and recreational facilities, we have to ask, “Have you had a criminal conviction?” Yes No

If yes, please give details:

Are you subject to any current or outstanding disciplinary procedures or legal action? Yes No

If yes, please give details:

Tick the box in agreement of the following:

I will not expect any payment from A Rocha other than official expenses payable under the rules governing taxation in the relevant country.

Tick the box in agreement of the following:

I give permission for this information to be added to the ARI International Volunteer Database and understand that the data will be shared with A Rocha national organisations. I understand that I may be contacted by A Rocha now or at some future date.

Tick the box in agreement of the following:

I'd like to receive information from A Rocha via e-mail.

NOTE: This information will only be used by A Rocha.