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Thank you for downloading the Lattitude
Global Volunteering application form
Simply fill in the below form and email it back to us at
volunteer@lattitude.org.uk
The application form is not designed to catch you out or ask you
trick questions. Its job is to give us an insight into who you are.
Along with an informal interview it helps us to match you up
to a placement that is best suited for you. Candidates are not
expected to have previous overseas experience; any variety of life
experience can be used to demonstrate your ability to be a good
volunteer.
If a programme excites you, however challenging it may appear,
we encourage you to apply. We all have things that we’re good
at and things that we struggle with a little. Our past experiences
shape who we are and allow us to bring a richness and diversity
to the people we work with. Finally – don’t worry about filling
the application in. It is not a job application, merely a tool to help
us get to know you. All we ask is that you’re honest throughout
your application.
If you get stuck
If you get stuck whilst filling out the application form or if you
need specific information about a placement to inform your
decisions then please feel free to call us on 0118 959 4914. We
are a friendly bunch and will be happy to answer your questions
for you. If it is out of office hours, or you would rather an email
response, then please email us at volunteer@lattitude.org.uk.
More Information
More information about the application form, who can apply as
well as hints and tips on filling it in can be found at the bottom of
the document.
Although the form is several pages, it will not take you very long
to fill out. And the sooner we receive it back, the sooner we can
get your volunteer experience started!
APPLICATION FORM
1. Personal details
Name		
First & middle names as on passport		 Surname as on passport
Date of birth	 Gender 	 Nationality	 2nd Nationality 														
(If applicable)
Contact address
Country				 Post / zip code	
Home telephone number		 Mobile telephone number						
inc country code				 inc country code				
Email address 1				 Email address 2							
(optional)
Skype ID
(optional)
2. Bursary
Lattitude Global Volunteering has a Bursary Scheme which enables us to provide
financial assistance to young people whose circumstances make it particularly
difficult for them to volunteer overseas. If you think you may qualify for this
scheme please indicate this below (with an ‘x’).
Yes, I would like to be considered for a bursary*
No, I do not wish to be considered for a bursary
*In order to apply for the bursary scheme you MUST agree to the terms and
conditions outlined in the bursary information page on the Lattitude Global
Volunteering website. You MUST also submit a separate Bursary application
along with this form.
3. Education
Do you have a degree?	
Yes	
No
If yes:
University name	
Subject studied	
Dates attended	
Please provide information of any past, current or future studies in further
education (e.g. A levels, International Baccalaureate, AS levels, Scottish Highers,
BTEC Nationals):
School / College name	
City / country	
Dates attended
Subject Level Grade Subject Level Grade
4. Languages
Please list any languages you speak including your first language. Please describe
your level of proficiency by:
Basic: 		 can read, speak and understand simple language
Proficient: 	 can engage in conversation, read and write
Fluent: 		 fluent in all aspects of the language, near native-like competency
Language Fluent Proficient Basic									
APPLICATION FORM
5. Placement Choice
Please list your first 5 preferences by writing the number 1 – 5 in the boxes provided
with ‘1’ being the most preferred and ‘5’ being the least preferred. Please put
numbers in only 5 boxes
Please note, more information on how to fill in section 5 as well as a summary of the work types indicated is
available on the last pages of this application form
Argentina Volunteer Work Type Departure Month & Duration
Community Worker August 2014 (4 months)
August 2015 (4 months)
March 2015 (4 months)
March 2016 (4 months)
English Teacher August 2014 (4 months)
August 2015 (4 months)
March 2015 (4 months)
March 2016 (4 months)
Schools Assistant	 August 2014 (4 months)
August 2015 (4 months)
March 2015 (4 months)
March 2016 (4 months)
Australia Volunteer Work Type Departure Month & Duration
Outdoor Education July 2014 (11 months)
January 2015 (5 months)
July 2014 (5 months)
July 2015 (5 / 11 months)
Schools Assistant July 2014 (11 months)
January 2015 (5 months)
July 2014 (5 months)
July 2015 (5 / 11 months)
Canada Volunteer Work Type Departure Month & Duration
Outdoor Education January 2015 (7 months)
January 2016 (7 months)
March 2015 (4-8 months)
March 2015 (4-8 months)
Outdoor Education
with Caring
January 2015 (7 months)
January 2016 (7 months)
March 2015 (4-8 months)
March 2015 (4-8 months)
Schools Assistant Sept 2014 (12 months) Sept 2015 (12 months)
China Volunteer Work Type Departure Month & Duration
English Teacher Sept 2014 (5 months)
Sept 2015 (5 months)
Feb 2015 (5 months)
Feb 2016 (5 months)
Ecuador Volunteer Work Type Departure Month & Duration
English Teacher Sept 2014 (5 months)
Sept 2015 (5 months)
Feb 2015 (5 months)
Feb 2016 (5 months)
English Teacher with
Community / Caring /
Environment
Sept 2014 (5 months)
Sept 2015 (5 months)
Feb 2015 (5 months)
Feb 2016 (5 months)
Fiji Volunteer Work Type Departure Month & Duration
Teaching with
Community
August 2014 (3 months)
January 2015 (7 months)
May 2015 (3 months)
August 2015 (3 months)
January 2016 (7 months)
Jan 2015 (3 months)
Jan 2015 (11 months)
May 2015 (8 months)
Jan 2016 (3 months)
Jan 2016 (11 months)
France Volunteer Work Type Departure Month & Duration
Caring Sept 2014 (11 months) Sept 2015 (11 months)
Schools Assistant Sept 2014 (11 months) Sept 2015 (11 months)
Ghana Volunteer Work Type Departure Month & Duration
Teaching Feb 2014 (5 months)
Feb 2015 (5 months)
Sept 2014 (5 months)
Sept 2015 (5 months)
India Volunteer Work Type Departure Month & Duration
Caring Assistant Feb 2014 (4.5 months)
Feb 2015 (4.5 months)
August 2014 (4.5 months)
August 2015 (4.5 months)
English Teacher Feb 2014 (4.5 months)
Feb 2015 (4.5 months)
Feb 2014 (4.5 months)
Feb 2015 (4.5 months)
Teacher Feb 2014 (4.5 months)
Feb 2015 (4.5 months)
Feb 2014 (4.5 months)
Feb 2015 (4.5 months)
Japan Volunteer Work Type Departure Month & Duration
Caring Assistant Sept 2014 (6 months)
Sept 2015 (6 months)
March 2015 (6 months)
March 2016 (6 months)
Medical Assistant Sept 2014 (6 months)
Sept 2015 (6 months)
March 2015 (6 months)
March 2016 (6 months)
£2650
£2650
£2450
£2250
£2450
£2450
£2450
£2450
£2250
£2450
5. Placement Choice (continued)
Malawi Volunteer Work Type Departure Month & Duration
Environment Worker
(inc Conservation)
August 2014 (4 months)
Jan 2015 (6 months)
August 2015 (10 months)
August 2014 (10 months)
August 2015 (4 months)
Jan 2016 (6 months)
Medical Assistant August 2014 (4 months)
Jan 2015 (6 months)
August 2015 (10 months)
August 2014 (10 months)
August 2015 (4 months)
Jan 2016 (6 months)
Teacher August 2014 (4 months)
Jan 2015 (6 months)
August 2015 (10 months)
August 2014 (10 months)
August 2015 (4 months)
Jan 2016 (6 months)
Teacher with
Community / Caring
August 2014 (4 months)
Jan 2015 (6 months)
August 2015 (10 months)
August 2014 (10 months)
August 2015 (4 months)
Jan 2016 (6 months)
New Zealand Volunteer Work Type Departure Month & Duration
Outdoor Education July 2014 (11 months)
July 2015 (11 months)
Jan 2015 (5 months)
Jan 2016 (5 months)
Schools Assistant July 2014 (11 months)
July 2015 (11 months)
Jan 2015 (5 months)
Jan 2016 (5 months)
Poland Volunteer Work Type Departure Month & Duration
Schools Assistant Sept 2014 (5 months)
Sept 2014 (5 months)
Feb 2015 (5 months)
Feb 2015 (5 months)
Summer Schools
Assistant
July 2014 (2 months)
July 2016 (2 months)
July 2015 (2 months)
South Africa Volunteer Work Type Departure Month & Duration
Outdoor Education July 2014 (2.5 months)
July 2014 (11 months)
Jan 2015 (11 months)
July 2015 (6 months)
July 2014 (6 months)
Jan 2015 (6 months)
July 2015 (2.5 months)
July 2014 (11 months)
Outdoor Education
with Environment /
Community
July 2014 (2.5 months)
July 2014 (11 months)
Jan 2015 (11 months)
July 2015 (6 months)
July 2014 (6 months)
Jan 2015 (6 months)
July 2015 (2.5 months)
July 2014 (11 months)
Schools Assistant July 2014 (2.5 months)
July 2014 (11 months)
Jan 2015 (11 months)
July 2015 (6 months)
July 2014 (6 months)
Jan 2015 (6 months)
July 2015 (2.5 months)
July 2014 (11 months)
Schools Assistant with
Caring
July 2014 (2.5 months)
July 2014 (11 months)
Jan 2015 (11 months)
July 2015 (6 months)
July 2014 (6 months)
Jan 2015 (6 months)
July 2015 (2.5 months)
July 2014 (11 months)
Vanuatu Volunteer Work Type Departure Month & Duration
Teaching with
Community
June 2014 (6 months)
June 2015 (6 months)
Jan 2015 (6 months)
Jan 2016 (6 months)
Vietnam Volunteer Work Type Departure Month & Duration
English Teaching June 2014 (3 months)
August 2014 (5 months)
Feb 2015 (4 months)
August 2015 (4 months)
Feb 2016 (4 months)
August 2014 (4 months)
Feb 2015 (3 months)
June 2015 (3 months)
August 2015 (5 months)
Feb 2016 (3 months)
£2450
£2650
£2450
£2450
£2450
£2250
6. About You
Why do you want to volunteer? (Write about 300 words)
What do you hope to gain from the experience? (Write about 300 words)
What qualities / skills do you have that make you suitable for a voluntary
placement? (Again, please try to be honest, it helps us to match you to a placement that suits
you. Examples could be; sporty, play a musical instrument, member of a drama group etc)
Please list your interests and hobbies
Please provide details of any current or previous work experience, including any
paid or voluntary work experience
Please provide details of any other relevant experience (this could include Cadets,
community clubs. Duke of Edinburgh, Fist Aid, life guard, sports coaching etc)
Do you hold a valid driving licence?
Yes		 No
APPLICATION FORM
7. Special requirements
Please indicate if you have any of the following requirements
Yes	 No	 I have specific dietary requirement (i.e. vegetarian)
Yes	 No	 I have an allergy / allergies
Yes	 No	 I have physical accessibility requirements
Yes	 No	 I have other requirements
If yes to any of the above, please provide details below
8. Medical history
Are you currently on any medication?		 Yes	 No	
Are you currently undergoing medical
investigations or treatment?			 Yes	 No	
Do you regard yourself as being disabled?	 Yes	 No	
If yes to any of the above, please provide details below:
Have you ever had or do you now suffer from any of the following:
Yes	 No	 Anorexia, bulimia or other eating disorder					
Yes	 No	 Glandular fever, chronic fatigue syndrome or ME
Yes	 No	 Anxiety, depression or other psychiaritric illness				
Yes	 No	 Hearing impairment
Yes	 No	 Asthma or any other lung disease			
Yes	 No	 Stomach or other bowel problems
Yes	 No	 Back, neck or joint conditions			
Yes	 No	 Visual impairment (not including glasses)
Yes	 No	 Diabetes			
Yes	 No	 Any other significant illness or operation
Yes	 No	 Dyslexia, autism, asperger’s syndrome or other learning difficulties	
If yes to any of the above, please provide details below:
9. Referees
We like to contact other people that know you in order to get an external
opinion about your skills and personality; this helps us further to match you to a
placement that will suit you. So please provide the details of two people that you
have known for at least one year. This person should know you in a professional
capacity. This could be a teacher, tutor, employer or other person. But not a
relative or a friend.
Referee 1:
Title		 First Name			 Surname				
Email Address				
Relationship (i.e. teacher / tutor / employer
Referee 2:
Title		 First Name			 Surname				
Email Address				
Relationship (i.e. teacher / tutor / employer
10. Selection days, fundraising workshops and interviews
We strongly encourage all potential volunteers to attend a Selection day, incorporating
introduction to Lattitude and fundraising seminars as well as a chance to meet our Volunteer
Coordinators. Attending will give you a head start on your volunteer journey and enable
Lattitude staff members to best assess your strengths, in turn allowing us to match you more
accurately to a placement that best suits you. However, we also understand that you may not
be able to travel to Reading in order to attend so we also provide alternative options for you.
YES I will attend a Selection day in Reading
No, unfortunately I cannot attend a Selection day; I will instead have an
interview via: (please select one. If you are attending an assessment day please leave blank)
Face to face Leeds		 Face to face Glasgow	 Skype (video)	 Telephone															
APPLICATION FORM
11. Monitoring statistics
(these statistics assist Lattitude Global Volunteering in monitoring their applications,
they do not count towards your application)
Please let us know where you heard about Lattitude Global Volunteering
If you heard about us at an event or school talk, which one?		
Ifyouheardaboutusviaafriendorexvolunteer,whowasit?(wewouldliketosaythanks)		
How would you describe your ethnic origin?	
How would you describe your religious beliefs / background?
				
12. Convictions
If accepted as a Lattitude Global Volunteering volunteer you will be required
to complete a police record check. In advance we would like you to answer the
questions below. You are not obliged to answer the following questions but having
this information in advance will help us find the right placement according to your
specific situation.
Do you have any unspent criminal convictions?	 Yes		 No	
If yes to the above, please provide details below:
Do you have any spent convictions or have you ever been cautioned, reprimanded
or given a final warning by the police?		 Yes		 No					
If yes to the above, please provide details below:
13. Declaration and data protection
a. Declaration
•The information that has been provided on this form is complete and correct in every detail
•I have declared all medical conditions or regular medication taken
b. Data protection
The data on this form will be stored and processed in order for Lattitude Global Volunteering to
administer its services. In order to administer the services overseas, limited data will pass outside of
the UK.
Please sign below to indicate that the information in this form is accurate to the best of your
knowledge as outlined in declaration (a) and that you understand the above regarding the use of
personal data (b) and have given consent to use the data within this form to continue processing your
application as needed.
Date:		 Name:				
( we are happy for you to type your name opposed to signing)
Great! You have now finished your Lattitude Global Volunteering
application form. All you have to do now is attach it to an email and
send it to us at volunteer@lattitude.org.uk
Careers fair	 Google			 Connexions		 Friend	
Career centre	 Year Out Group		 UCAS			 Ex volunteer	
School talk	 gapyear.com		 Newspaper		 Parent		
Advisor		 gap-year.com		 Magazine		 other
Asian		 Asian British			 Other Asia		
Black		 Black African			 Other Black		
Chinese		 Mixed: White & Asian		 Mixed: White & Black African		
Mixed: White & Black Caribbean			 Other mixed		
White British	 White Irish			 Other White		
Prefer not to say	
Christian	 Hindu		 Jewish		 Muslim	
Sikh		 Atheist		 Other		 None	
Prefer not to say	
APPLICATION FORM
Further information about applying through Lattitude Global Volunteering
The application process
If you would like further information about how the application process works then please
see our website: http://www.lattitude.org.uk/how-to-apply/. Alternately please feel free to
contact us either by calling 0118 959 4914 or emailing volunteer@lattitude.org.uk
Programme availability
Lattitude Global Volunteering encourages volunteers to apply as early as possible. We
are unable to guarantee availability on a particular programme even if your application
is received before the specified closing date. We ask that all volunteers remain flexible
throughout the application process.
Hints for writing your application
Section 5...
Section 6...
The majority of volunteers find Section 6. the most challenging to complete, which
is why we have outlined some tips below.
Why do you want to volunteer?
Reflect on your various motivations for applying to Lattitude Global Volunteering.
Why is this particular programme important to you?
What do you hope to gain from the experience?
Think about skills that you would like to develop, for example communication,
language, sports skills; what sort of challenges you feel you will meet and how you
will get over them. You could also include any relevant cross cultural experiences or
if you have limited experience outline your understanding of these differences and
how you would work through these on your placement. You might be interested
in a particular country or placement type because of your plans for future study,
for example, languages, international development, conservation, teaching or
medicine.
What qualities / skills do you have that make you suitable for a voluntary
placement?
Outline qualities and skills you currently hold and give examples of where you think
these will be useful whilst volunteering. You might be extremely level headed, have
an excellent sense of humour, play regular sports or enjoying looking after small
children for example.
Please list your interests and hobbies.
Think about all your interests and hobbies, especially those that you would like to
use whilst on your placement.
.........................................................................................................................................
If you have any questions or concerns, please contact us at:
E: volunteer@lattitude.org.uk
T: 0118 959 4914
APPLICATION FORM
Understanding the work type volunteers undertake:
Caring Assistant: Such as working in a home for people with disabilities, in Canada caring can be offered
in conjunction with Outdoor Activities
English Teacher: Role involving teaching classes English, usually with a focus on conversational English.
Volunteers will also be encouraged to help with extra curricular activities
Medical Assistant:	 Working in a hospital or health centre environment aiding the staff in a range of health
related tasks
Schools Assistant: Aid full time staff across a range of tasks, generally Schools Assistants are involved with
many extra curricular activities such as sports, music, drama etc
Teacher: A responsible role and one that is exceptionally rewarding. We will help match you to
a school where your academic strengths can be best utilised. Volunteers will also be
encouraged to help with extra curricular activities
Greater detail as to the work types available in each country can be found on the
website. Alternately, please feel free to contact us for more information.
Example: How to indicate your placement preference:
Argentina Volunteer Work Type Departure Month & Duration
Community Worker August 2013 (4 months) March 2014 (4 months)
English Teacher August 2013 (4 months) March 2014 (4 months)
Schools Assistant	 August 2013 (4 months) March 2014 (4 months)
The example highlights a first choice of Argentina, on a community placement
departing in March 2014, with a second choice of a placement in Teaching English
departing in August 2013.
1
2
Example

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introduction research and research mothed

  • 1. Thank you for downloading the Lattitude Global Volunteering application form Simply fill in the below form and email it back to us at volunteer@lattitude.org.uk The application form is not designed to catch you out or ask you trick questions. Its job is to give us an insight into who you are. Along with an informal interview it helps us to match you up to a placement that is best suited for you. Candidates are not expected to have previous overseas experience; any variety of life experience can be used to demonstrate your ability to be a good volunteer. If a programme excites you, however challenging it may appear, we encourage you to apply. We all have things that we’re good at and things that we struggle with a little. Our past experiences shape who we are and allow us to bring a richness and diversity to the people we work with. Finally – don’t worry about filling the application in. It is not a job application, merely a tool to help us get to know you. All we ask is that you’re honest throughout your application. If you get stuck If you get stuck whilst filling out the application form or if you need specific information about a placement to inform your decisions then please feel free to call us on 0118 959 4914. We are a friendly bunch and will be happy to answer your questions for you. If it is out of office hours, or you would rather an email response, then please email us at volunteer@lattitude.org.uk. More Information More information about the application form, who can apply as well as hints and tips on filling it in can be found at the bottom of the document. Although the form is several pages, it will not take you very long to fill out. And the sooner we receive it back, the sooner we can get your volunteer experience started! APPLICATION FORM
  • 2. 1. Personal details Name First & middle names as on passport Surname as on passport Date of birth Gender Nationality 2nd Nationality (If applicable) Contact address Country Post / zip code Home telephone number Mobile telephone number inc country code inc country code Email address 1 Email address 2 (optional) Skype ID (optional) 2. Bursary Lattitude Global Volunteering has a Bursary Scheme which enables us to provide financial assistance to young people whose circumstances make it particularly difficult for them to volunteer overseas. If you think you may qualify for this scheme please indicate this below (with an ‘x’). Yes, I would like to be considered for a bursary* No, I do not wish to be considered for a bursary *In order to apply for the bursary scheme you MUST agree to the terms and conditions outlined in the bursary information page on the Lattitude Global Volunteering website. You MUST also submit a separate Bursary application along with this form. 3. Education Do you have a degree? Yes No If yes: University name Subject studied Dates attended Please provide information of any past, current or future studies in further education (e.g. A levels, International Baccalaureate, AS levels, Scottish Highers, BTEC Nationals): School / College name City / country Dates attended Subject Level Grade Subject Level Grade 4. Languages Please list any languages you speak including your first language. Please describe your level of proficiency by: Basic: can read, speak and understand simple language Proficient: can engage in conversation, read and write Fluent: fluent in all aspects of the language, near native-like competency Language Fluent Proficient Basic APPLICATION FORM
  • 3. 5. Placement Choice Please list your first 5 preferences by writing the number 1 – 5 in the boxes provided with ‘1’ being the most preferred and ‘5’ being the least preferred. Please put numbers in only 5 boxes Please note, more information on how to fill in section 5 as well as a summary of the work types indicated is available on the last pages of this application form Argentina Volunteer Work Type Departure Month & Duration Community Worker August 2014 (4 months) August 2015 (4 months) March 2015 (4 months) March 2016 (4 months) English Teacher August 2014 (4 months) August 2015 (4 months) March 2015 (4 months) March 2016 (4 months) Schools Assistant August 2014 (4 months) August 2015 (4 months) March 2015 (4 months) March 2016 (4 months) Australia Volunteer Work Type Departure Month & Duration Outdoor Education July 2014 (11 months) January 2015 (5 months) July 2014 (5 months) July 2015 (5 / 11 months) Schools Assistant July 2014 (11 months) January 2015 (5 months) July 2014 (5 months) July 2015 (5 / 11 months) Canada Volunteer Work Type Departure Month & Duration Outdoor Education January 2015 (7 months) January 2016 (7 months) March 2015 (4-8 months) March 2015 (4-8 months) Outdoor Education with Caring January 2015 (7 months) January 2016 (7 months) March 2015 (4-8 months) March 2015 (4-8 months) Schools Assistant Sept 2014 (12 months) Sept 2015 (12 months) China Volunteer Work Type Departure Month & Duration English Teacher Sept 2014 (5 months) Sept 2015 (5 months) Feb 2015 (5 months) Feb 2016 (5 months) Ecuador Volunteer Work Type Departure Month & Duration English Teacher Sept 2014 (5 months) Sept 2015 (5 months) Feb 2015 (5 months) Feb 2016 (5 months) English Teacher with Community / Caring / Environment Sept 2014 (5 months) Sept 2015 (5 months) Feb 2015 (5 months) Feb 2016 (5 months) Fiji Volunteer Work Type Departure Month & Duration Teaching with Community August 2014 (3 months) January 2015 (7 months) May 2015 (3 months) August 2015 (3 months) January 2016 (7 months) Jan 2015 (3 months) Jan 2015 (11 months) May 2015 (8 months) Jan 2016 (3 months) Jan 2016 (11 months) France Volunteer Work Type Departure Month & Duration Caring Sept 2014 (11 months) Sept 2015 (11 months) Schools Assistant Sept 2014 (11 months) Sept 2015 (11 months) Ghana Volunteer Work Type Departure Month & Duration Teaching Feb 2014 (5 months) Feb 2015 (5 months) Sept 2014 (5 months) Sept 2015 (5 months) India Volunteer Work Type Departure Month & Duration Caring Assistant Feb 2014 (4.5 months) Feb 2015 (4.5 months) August 2014 (4.5 months) August 2015 (4.5 months) English Teacher Feb 2014 (4.5 months) Feb 2015 (4.5 months) Feb 2014 (4.5 months) Feb 2015 (4.5 months) Teacher Feb 2014 (4.5 months) Feb 2015 (4.5 months) Feb 2014 (4.5 months) Feb 2015 (4.5 months) Japan Volunteer Work Type Departure Month & Duration Caring Assistant Sept 2014 (6 months) Sept 2015 (6 months) March 2015 (6 months) March 2016 (6 months) Medical Assistant Sept 2014 (6 months) Sept 2015 (6 months) March 2015 (6 months) March 2016 (6 months) £2650 £2650 £2450 £2250 £2450 £2450 £2450 £2450 £2250 £2450
  • 4. 5. Placement Choice (continued) Malawi Volunteer Work Type Departure Month & Duration Environment Worker (inc Conservation) August 2014 (4 months) Jan 2015 (6 months) August 2015 (10 months) August 2014 (10 months) August 2015 (4 months) Jan 2016 (6 months) Medical Assistant August 2014 (4 months) Jan 2015 (6 months) August 2015 (10 months) August 2014 (10 months) August 2015 (4 months) Jan 2016 (6 months) Teacher August 2014 (4 months) Jan 2015 (6 months) August 2015 (10 months) August 2014 (10 months) August 2015 (4 months) Jan 2016 (6 months) Teacher with Community / Caring August 2014 (4 months) Jan 2015 (6 months) August 2015 (10 months) August 2014 (10 months) August 2015 (4 months) Jan 2016 (6 months) New Zealand Volunteer Work Type Departure Month & Duration Outdoor Education July 2014 (11 months) July 2015 (11 months) Jan 2015 (5 months) Jan 2016 (5 months) Schools Assistant July 2014 (11 months) July 2015 (11 months) Jan 2015 (5 months) Jan 2016 (5 months) Poland Volunteer Work Type Departure Month & Duration Schools Assistant Sept 2014 (5 months) Sept 2014 (5 months) Feb 2015 (5 months) Feb 2015 (5 months) Summer Schools Assistant July 2014 (2 months) July 2016 (2 months) July 2015 (2 months) South Africa Volunteer Work Type Departure Month & Duration Outdoor Education July 2014 (2.5 months) July 2014 (11 months) Jan 2015 (11 months) July 2015 (6 months) July 2014 (6 months) Jan 2015 (6 months) July 2015 (2.5 months) July 2014 (11 months) Outdoor Education with Environment / Community July 2014 (2.5 months) July 2014 (11 months) Jan 2015 (11 months) July 2015 (6 months) July 2014 (6 months) Jan 2015 (6 months) July 2015 (2.5 months) July 2014 (11 months) Schools Assistant July 2014 (2.5 months) July 2014 (11 months) Jan 2015 (11 months) July 2015 (6 months) July 2014 (6 months) Jan 2015 (6 months) July 2015 (2.5 months) July 2014 (11 months) Schools Assistant with Caring July 2014 (2.5 months) July 2014 (11 months) Jan 2015 (11 months) July 2015 (6 months) July 2014 (6 months) Jan 2015 (6 months) July 2015 (2.5 months) July 2014 (11 months) Vanuatu Volunteer Work Type Departure Month & Duration Teaching with Community June 2014 (6 months) June 2015 (6 months) Jan 2015 (6 months) Jan 2016 (6 months) Vietnam Volunteer Work Type Departure Month & Duration English Teaching June 2014 (3 months) August 2014 (5 months) Feb 2015 (4 months) August 2015 (4 months) Feb 2016 (4 months) August 2014 (4 months) Feb 2015 (3 months) June 2015 (3 months) August 2015 (5 months) Feb 2016 (3 months) £2450 £2650 £2450 £2450 £2450 £2250
  • 5. 6. About You Why do you want to volunteer? (Write about 300 words) What do you hope to gain from the experience? (Write about 300 words) What qualities / skills do you have that make you suitable for a voluntary placement? (Again, please try to be honest, it helps us to match you to a placement that suits you. Examples could be; sporty, play a musical instrument, member of a drama group etc) Please list your interests and hobbies Please provide details of any current or previous work experience, including any paid or voluntary work experience Please provide details of any other relevant experience (this could include Cadets, community clubs. Duke of Edinburgh, Fist Aid, life guard, sports coaching etc) Do you hold a valid driving licence? Yes No APPLICATION FORM
  • 6. 7. Special requirements Please indicate if you have any of the following requirements Yes No I have specific dietary requirement (i.e. vegetarian) Yes No I have an allergy / allergies Yes No I have physical accessibility requirements Yes No I have other requirements If yes to any of the above, please provide details below 8. Medical history Are you currently on any medication? Yes No Are you currently undergoing medical investigations or treatment? Yes No Do you regard yourself as being disabled? Yes No If yes to any of the above, please provide details below: Have you ever had or do you now suffer from any of the following: Yes No Anorexia, bulimia or other eating disorder Yes No Glandular fever, chronic fatigue syndrome or ME Yes No Anxiety, depression or other psychiaritric illness Yes No Hearing impairment Yes No Asthma or any other lung disease Yes No Stomach or other bowel problems Yes No Back, neck or joint conditions Yes No Visual impairment (not including glasses) Yes No Diabetes Yes No Any other significant illness or operation Yes No Dyslexia, autism, asperger’s syndrome or other learning difficulties If yes to any of the above, please provide details below: 9. Referees We like to contact other people that know you in order to get an external opinion about your skills and personality; this helps us further to match you to a placement that will suit you. So please provide the details of two people that you have known for at least one year. This person should know you in a professional capacity. This could be a teacher, tutor, employer or other person. But not a relative or a friend. Referee 1: Title First Name Surname Email Address Relationship (i.e. teacher / tutor / employer Referee 2: Title First Name Surname Email Address Relationship (i.e. teacher / tutor / employer 10. Selection days, fundraising workshops and interviews We strongly encourage all potential volunteers to attend a Selection day, incorporating introduction to Lattitude and fundraising seminars as well as a chance to meet our Volunteer Coordinators. Attending will give you a head start on your volunteer journey and enable Lattitude staff members to best assess your strengths, in turn allowing us to match you more accurately to a placement that best suits you. However, we also understand that you may not be able to travel to Reading in order to attend so we also provide alternative options for you. YES I will attend a Selection day in Reading No, unfortunately I cannot attend a Selection day; I will instead have an interview via: (please select one. If you are attending an assessment day please leave blank) Face to face Leeds Face to face Glasgow Skype (video) Telephone APPLICATION FORM
  • 7. 11. Monitoring statistics (these statistics assist Lattitude Global Volunteering in monitoring their applications, they do not count towards your application) Please let us know where you heard about Lattitude Global Volunteering If you heard about us at an event or school talk, which one? Ifyouheardaboutusviaafriendorexvolunteer,whowasit?(wewouldliketosaythanks) How would you describe your ethnic origin? How would you describe your religious beliefs / background? 12. Convictions If accepted as a Lattitude Global Volunteering volunteer you will be required to complete a police record check. In advance we would like you to answer the questions below. You are not obliged to answer the following questions but having this information in advance will help us find the right placement according to your specific situation. Do you have any unspent criminal convictions? Yes No If yes to the above, please provide details below: Do you have any spent convictions or have you ever been cautioned, reprimanded or given a final warning by the police? Yes No If yes to the above, please provide details below: 13. Declaration and data protection a. Declaration •The information that has been provided on this form is complete and correct in every detail •I have declared all medical conditions or regular medication taken b. Data protection The data on this form will be stored and processed in order for Lattitude Global Volunteering to administer its services. In order to administer the services overseas, limited data will pass outside of the UK. Please sign below to indicate that the information in this form is accurate to the best of your knowledge as outlined in declaration (a) and that you understand the above regarding the use of personal data (b) and have given consent to use the data within this form to continue processing your application as needed. Date: Name: ( we are happy for you to type your name opposed to signing) Great! You have now finished your Lattitude Global Volunteering application form. All you have to do now is attach it to an email and send it to us at volunteer@lattitude.org.uk Careers fair Google Connexions Friend Career centre Year Out Group UCAS Ex volunteer School talk gapyear.com Newspaper Parent Advisor gap-year.com Magazine other Asian Asian British Other Asia Black Black African Other Black Chinese Mixed: White & Asian Mixed: White & Black African Mixed: White & Black Caribbean Other mixed White British White Irish Other White Prefer not to say Christian Hindu Jewish Muslim Sikh Atheist Other None Prefer not to say APPLICATION FORM
  • 8. Further information about applying through Lattitude Global Volunteering The application process If you would like further information about how the application process works then please see our website: http://www.lattitude.org.uk/how-to-apply/. Alternately please feel free to contact us either by calling 0118 959 4914 or emailing volunteer@lattitude.org.uk Programme availability Lattitude Global Volunteering encourages volunteers to apply as early as possible. We are unable to guarantee availability on a particular programme even if your application is received before the specified closing date. We ask that all volunteers remain flexible throughout the application process. Hints for writing your application Section 5... Section 6... The majority of volunteers find Section 6. the most challenging to complete, which is why we have outlined some tips below. Why do you want to volunteer? Reflect on your various motivations for applying to Lattitude Global Volunteering. Why is this particular programme important to you? What do you hope to gain from the experience? Think about skills that you would like to develop, for example communication, language, sports skills; what sort of challenges you feel you will meet and how you will get over them. You could also include any relevant cross cultural experiences or if you have limited experience outline your understanding of these differences and how you would work through these on your placement. You might be interested in a particular country or placement type because of your plans for future study, for example, languages, international development, conservation, teaching or medicine. What qualities / skills do you have that make you suitable for a voluntary placement? Outline qualities and skills you currently hold and give examples of where you think these will be useful whilst volunteering. You might be extremely level headed, have an excellent sense of humour, play regular sports or enjoying looking after small children for example. Please list your interests and hobbies. Think about all your interests and hobbies, especially those that you would like to use whilst on your placement. ......................................................................................................................................... If you have any questions or concerns, please contact us at: E: volunteer@lattitude.org.uk T: 0118 959 4914 APPLICATION FORM Understanding the work type volunteers undertake: Caring Assistant: Such as working in a home for people with disabilities, in Canada caring can be offered in conjunction with Outdoor Activities English Teacher: Role involving teaching classes English, usually with a focus on conversational English. Volunteers will also be encouraged to help with extra curricular activities Medical Assistant: Working in a hospital or health centre environment aiding the staff in a range of health related tasks Schools Assistant: Aid full time staff across a range of tasks, generally Schools Assistants are involved with many extra curricular activities such as sports, music, drama etc Teacher: A responsible role and one that is exceptionally rewarding. We will help match you to a school where your academic strengths can be best utilised. Volunteers will also be encouraged to help with extra curricular activities Greater detail as to the work types available in each country can be found on the website. Alternately, please feel free to contact us for more information. Example: How to indicate your placement preference: Argentina Volunteer Work Type Departure Month & Duration Community Worker August 2013 (4 months) March 2014 (4 months) English Teacher August 2013 (4 months) March 2014 (4 months) Schools Assistant August 2013 (4 months) March 2014 (4 months) The example highlights a first choice of Argentina, on a community placement departing in March 2014, with a second choice of a placement in Teaching English departing in August 2013. 1 2 Example