نمودج لطلب التطوع
Volunteer Application Form
IN CONFIDENCE
APPLICATION FOR VOLUNTARY ****
Thankyou for your interest in volunteering with PAiH, to enable us to processyour
application as quickly as possible please fill out as much of thisapplication as you can
andsend it back to us. All information will beconfidential.
If youhave any difficulties with written English plese contact the AdminManager
who will be happy to help youfill it out.
PERSONAL DETAILS
Surname
: ____________________ Forenames: _____الاسم_______________
Areyou a
… Mr / Mrs / Miss / Ms (please circle)
Address
_______________________________________العنوان_________
Contact Info
: Home _________________رقم هاتف المنزل______________________
MobilePhone ___________رقم الجوال______________________
E-mail ___________البريد الالمتروني_________________________ Date of Birth
تاريخ الميلاد: ____/____/______
Whatis your status in the UK
Pleasecircle
نوعيه الاقامه في البلدIam a
…… British Citizen Asylum seeker
(awaiting a decision)
GrantedRefugee Status Other ______________________
(or ILR etc)
Do you have a current UK driving license
هل لديك رخصه قياده: YES / NO
Do youhave access to your own car/van
هل لديك مركبه قياده : YES / NO
Current Employmentهل انت موظف حاليا
Areyou currently employed?
Yes / No
If youare
unemployed, has it been over six months since
youhave last ****ed: Yes / No
Whatwas your last job / profession?
_____هل انت الان بلا وظيفه ؟؟وماذا كانت اخر وظيفه لك_________________
Pleasegive brief details of your **** experience/skills
اعطنا نبذه عن قدراتك العمليه و الوظيفيه__________________________________________
Whatkind of voluntary **** are you most keen to do withPAiH?
Forexaple:
volunteer support ****er/assistantcase****er
في اي مجال تشعر انك تحب التطوع_____________________________
Pleasecircle the times you would be available tovolunteer
Don’t worry if you are not yet sure, this can be decided on at a laterstage
MondayAM (10 – 1) Tue AM Wed AM Thur AM Fri AM
MondayPM (2 – 5) Tue PM Wed PM Thur PM Fri PM
Whatare hoping to gain from volunteering with PAiH?
Forexample:
gaining new skills, contributing to your communityetc
________________________الرجاء وضع الساعات التي تحب التطوع بها ..ولا تقلق ان لم تكن متأكد الان Medical History
Pleasetell us anything we may need to know about your medical history. This isjust
in casethere is any medical problems or medication we should know inan
emergency.
_____________اخبرنا عن التاريخ اصحي لك اي مشاكل صحيه ..او حساسيه او اي شئ علينا معرفته في حاله الطوارئ_____________________________________________
Who should we contact in anemergency? _____في حالهالطوارئ من نكلم _____________________
Relationship (for example:
wife) ______________اسم الزوجه___________________
Telephone Number ______رقم الهاتف___________________________
REFERENCES
Pleaseprovide then names of two references who are familiar with you or your
and whoare not related to you
Name: ________اعط بعض اسماء اناس يعرفون عنك شيئا (للتزكيه) _______
Position: ______________________________________________
Address: ______________________________________________
Telephone Number: _____________________________________:
I certify that the aboveinformation is correct to the best of my knowledge and
understand that anymisrepresentation by me on this application for will causethis
application to be cancelled ormy voluntary **** with the company to be terminated.
I agree to the companycontacting the references I have given and to make other
inquiries about me, if theyare related to the ****.
اشهد ان المعلومات التي ارفقتها هي صحيحه علي حد علمي بها و التزم بقوانين الشركه التي اتطوع بها ,وللشركه الحق بان تتصل علي الاسماء المذكوره اعلاه,وتسأل ,واي معلومه غير صحيحه للجهه حق رفض التبرع
التوقيع
Applicant’s signature
نمودج لطلب التطوع
Volunteer Application Form
IN CONFIDENCE
APPLICATION FOR VOLUNTARY ****...
Volunteer Application Form
IN CONFIDENCE
APPLICATION FOR VOLUNTARY ****
Thankyou for your interest in volunteering with PAiH, to enable us to processyour
application as quickly as possible please fill out as much of thisapplication as you can
andsend it back to us. All information will beconfidential.
If youhave any difficulties with written English plese contact the AdminManager
who will be happy to help youfill it out.
PERSONAL DETAILS
Surname
: ____________________ Forenames: _____الاسم_______________
Areyou a
… Mr / Mrs / Miss / Ms (please circle)
Address
_______________________________________العنوان_________
Contact Info
: Home _________________رقم هاتف المنزل______________________
MobilePhone ___________رقم الجوال______________________
E-mail ___________البريد الالمتروني_________________________ Date of Birth
تاريخ الميلاد: ____/____/______
Whatis your status in the UK
Pleasecircle
نوعيه الاقامه في البلدIam a
…… British Citizen Asylum seeker
(awaiting a decision)
GrantedRefugee Status Other ______________________
(or ILR etc)
Do you have a current UK driving license
هل لديك رخصه قياده: YES / NO
Do youhave access to your own car/van
هل لديك مركبه قياده : YES / NO
Current Employmentهل انت موظف حاليا
Areyou currently employed?
Yes / No
If youare
unemployed, has it been over six months since
youhave last ****ed: Yes / No
Whatwas your last job / profession?
_____هل انت الان بلا وظيفه ؟؟وماذا كانت اخر وظيفه لك_________________
Pleasegive brief details of your **** experience/skills
اعطنا نبذه عن قدراتك العمليه و الوظيفيه__________________________________________
Whatkind of voluntary **** are you most keen to do withPAiH?
Forexaple:
volunteer support ****er/assistantcase****er
في اي مجال تشعر انك تحب التطوع_____________________________
Pleasecircle the times you would be available tovolunteer
Don’t worry if you are not yet sure, this can be decided on at a laterstage
MondayAM (10 – 1) Tue AM Wed AM Thur AM Fri AM
MondayPM (2 – 5) Tue PM Wed PM Thur PM Fri PM
Whatare hoping to gain from volunteering with PAiH?
Forexample:
gaining new skills, contributing to your communityetc
________________________الرجاء وضع الساعات التي تحب التطوع بها ..ولا تقلق ان لم تكن متأكد الان Medical History
Pleasetell us anything we may need to know about your medical history. This isjust
in casethere is any medical problems or medication we should know inan
emergency.
_____________اخبرنا عن التاريخ اصحي لك اي مشاكل صحيه ..او حساسيه او اي شئ علينا معرفته في حاله الطوارئ_____________________________________________
Who should we contact in anemergency? _____في حالهالطوارئ من نكلم _____________________
Relationship (for example:
wife) ______________اسم الزوجه___________________
Telephone Number ______رقم الهاتف___________________________
REFERENCES
Pleaseprovide then names of two references who are familiar with you or your
and whoare not related to you
Name: ________اعط بعض اسماء اناس يعرفون عنك شيئا (للتزكيه) _______
Position: ______________________________________________
Address: ______________________________________________
Telephone Number: _____________________________________:
I certify that the aboveinformation is correct to the best of my knowledge and
understand that anymisrepresentation by me on this application for will causethis
application to be cancelled ormy voluntary **** with the company to be terminated.
I agree to the companycontacting the references I have given and to make other
inquiries about me, if theyare related to the ****.
اشهد ان المعلومات التي ارفقتها هي صحيحه علي حد علمي بها و التزم بقوانين الشركه التي اتطوع بها ,وللشركه الحق بان تتصل علي الاسماء المذكوره اعلاه,وتسأل ,واي معلومه غير صحيحه للجهه حق رفض التبرع
التوقيع
Applicant’s signature