Visitor and Volunteer Application Form

Sections marked with a * must be completed. All details will be treated confidentially.

Details
Do you intend to join Child of Hope as a:  *
 Volunteer
 Visitor
Name as printed on birth certificate/passport:  *
Name if different from above:  *
Address:  *
Postcode/Zip:  *
Country:  *
Contact Telephone Number:  *
Details 2
Date of Birth:  *
Email Address:  *
Do you hold a valid passport?:  *
 Yes
 No
If Yes, expiry date:
Have you ever been convicted of a criminal offence?:  *
 Yes
 No
If yes, please give details regarding the conviction:
Skills
List any qualifications and specific skills you have:
Are you currently employed?:  *
 Yes
 No
If yes in what position?:
What do you see as your strongest character feature?:
What do you see as your weakest character feature?:
Have you taken part in voluntary work before?:  *
 Yes
 No
If yes – with which organisation/what activities were you involved with?:
Health Information
Please indicate below any medical conditions:
Do you have any conditions which might affect your ability to fully function as volunteer:
Are you presently under medication prescribed by a doctor?:  *
 Yes
 No
If yes, please give details:
Do you have any specific dietary requirements?:  *
 Yes
 No
If yes, please give details:
Emergency Contacts
Emergency Contact 1 Name:  *
Relationship to you:  *
Address:  *
Postcode/Zip:  *
Contact telephone number (home):  *
Contact telephone number (mobile):  *
Emergency Contact 2 Name:  *
Relationship to you:  *
Address:  *
Postcode:  *
Contact telephone number (home):  *
Contact telephone number (mobile):  *
The Trip
Suggested dates of arrival/departure:  *
Food requirements:  *
 Western
 Ugandan
 Vegetarian
Accommodation requirements:
 The House
 Guest House
What are your personal expectations for this visit or voluntary service?:  *
How did you hear about Child of Hope?:  *
More Information:
Please check through the form and press submit when completed

Declaration

By clicking submit you are agreeing with the following statements:

• Child of Hope requires that all volunteers comply with the guidance given in the visitors information pack while working with Child of Hope. Child of Hope in UK and in Uganda is not liable in the event of accident, sickness or death or for any expenses incurred by the trip. Volunteers must have all the necessary documentation, immunisations and travel insurance.
• Child of Hope may contact you regarding any information given on this application form for further details if necessary.
• I have read and understand the above information. The information I have given Child of Hope is accurate and true to the best of my knowledge.

 

 

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