(Please also submit a passport photo and your C.V.)
PART I
Name of applicant _____________________________________________
Surname First name Middle Name
Date________________
Address _____________________
Tel(o) ______________(h)_______________
Identity Card No ____________________________
Passport No _________________________________
Parent’s/guardian’s Name and contact___________________________
Tel no._______________________
Contact person in Nairobi ________________________________________
Address B0X _________________________
Tel(o)_____________(h)_______________
PART II
PLEASE FILL IN ALL THE QUESTIONS IN CLEAR, LEGIBLE AND NEAT HANDWRITING. USE SMALL SCRIPT SO THAT YOU HAVE ADEQUATE SPACE FOR EACH QUESTION. IF NEED BE USE THE BACKSIDE OF THIS FORM
1.How did you get to know about Real Stars?
2.Briefly share your motivation to becoming a volunteer in REAL STARS (not more than 40 words)
3.What is your highest level of education?(tick where appropriate)
High school__________diploma/certificate__________degree__________masters___________
4.Do you have brothers and sisters? Where do they live, what do they do for an occupation?
5.Where do you currently live? Where will you live if you are accepted as a volunteer?
6.Are you married or intend to get married soon? If married, do you have children, what ages and do you intend to have any others during the year of volunteering?
7.In what ways are you currently involved in the community?
8.What are your expectations for this volunteer program? (Please be detailed - share 5 or 6 expectations - use back of paper as is necessary).
9.Have you been a Real Star beneficiary? If yes in which way?
10.What areas of your life do you wish to grow in as a result of the volunteer work?
11.For how long do you want to volunteer at REAL STARS? (tick the appropriate place)
3 months_________ 6 months__________ 1 year___________ More than 1 year_________ (specify)
NB: If you want only to volunteer for some hours and/or certain days of the week, please give the details below.
12.Are there specific areas of work that you are hesitant to participate in?
13.Are there any medical needs that we should be aware of that may make it difficult for you to meet our expectations?
14.Please give us the names, and address of 3 referees who know you and your character well.
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