VIEWS: 151 PAGES: 7 CATEGORY: College POSTED ON: 5/3/2009
OFFICE VOLUNTEER APPLICATION FORM - For those who want to volunteer at our office or locally in the USA.
VOLUNTEER APPLICATION FORM AFRICA PROJECT, INC. Empowerment, Not Charity. OFFICE INTERNSHIP AND VOLUNTEER APPLICATION FORM Africa Project, Inc. is a non-profit organization based in North Carolina, USA. We enable Africans to become self-reliant by providing resources necessary for individual and collective development. We support initiatives that invest in education, generate sustainable income, bolster infrastructure, and celebrate culture and identity. We promote empowerment, not charity. IMPORTANT NOTICE: In order to be considered for internship or volunteer opportunity at our local office, applicants must submit a signed and completed application packet along with a resume, list of 2 references, and a passport size photograph. All application items must be submitted as a complete package. Incomplete applications will not be reviewed or considered. Please, complete only pages 1-6. Instructions: Please, complete page 1-6 and email, or mail to us. Do not include informational pages 7-8. APPLICATION FORM Name(s) of Internship(s) Applying For: _______________________________________ Name: __________________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________________ Telephone Number: ________________________________________________ Gender: Male Female (Please circle one) Email address: _________________________________________________ Are you a U.S. citizen? 1 Yes No (Please circle one) Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: firstname.lastname@example.org VOLUNTEER APPLICATION FORM Please note, that your citizenship status will not be factored into whether you will be considered or not. Are you requesting college credit hours for your internship? Yes No (Please circle one) If yes, you are responsible for contacting your school or instructor to complete the necessary paper works. Dates available to perform internship: ________ (month/year) to _________ (month/year) EDUCATION BACKGROUND: Please list the name and location for each High School: ________________________________________________________________ Date and Year of Graduation: ___________________________________________________ Undergraduate: _______________________________________________________ Major: ______________________________________________________________________ Date and Year of Graduation: ___________________________________________________ Graduate: ___________________________________________________________________ Graduate Program: ________________________________________________________ Date and Year of Graduation: ___________________________________________________ Scholastic Honors and/or Licenses: ____________________________________________ EMPLOYMENT HISTORY: Please, attach a copy of your current resume listing your employment history, volunteer and community involvement. REFERENCE #1: Name: ______________________________________________________________________ Telephone Number: ___________________________________________________________ Company/School: _____________________________________________________________ Address: _____________________________________________________________________ Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: email@example.com 2 VOLUNTEER APPLICATION FORM Relationship: ____________________________ Known how long: _____________________ RFERENCE #2: Name: ______________________________________________________________________ Telephone Number: ___________________________________________________________ Company/School: _____________________________________________________________ Address: _____________________________________________________________________ Relationship: ____________________________ Known how long: _____________________ Please list your Publications and Articles (if any): ______________________________________________________________________________ ______________________________________________________________________________ Please list your community/professional organizations, honors and awards (if any): ______________________________________________________________________________ ______________________________________________________________________________ Please list any Activities relevant to the internship(s) for which you are applying: ___________________________________________________________________________ _____________________________________________________________________________ ESSAY: Briefly describe what compels you to travel and volunteer in Africa (use a separate piece of paper if necessary). __________________________________________________________________________ _________________________________________________________________________ __________________________________________________________________________ Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: firstname.lastname@example.org 3 VOLUNTEER APPLICATION FORM _________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Have you traveled, lived, volunteered in Africa or worked with any African community before? Yes No (Please circle one) If yes, when and where? ______________________________________________________ Do you have any medical conditions or special requirements that you would like others working alongside you to be aware of? (This includes things like allergies, heart conditions, anaphylactic shock, etc. which might affect the type of work you do) ________________________________________________________________________ ________________________________________________________________________ A person we can contact in the event of an emergency: Name of contact: ______________________________ Relationship: ________________ Telephone number (day): ______________________ Mobile Number: ___________________ I, ___________________________, certify that all of the statements in this application are true and complete to the best of my knowledge. I understand that a false or incomplete answer may be grounds for not considering me or for my dismissal. Signature: ___________________________________Date: ________________________ Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: email@example.com 4 VOLUNTEER APPLICATION FORM INTERN / VOLUNTEER AGREEMENT Terms and Conditions I, _______________________________, have requested that Africa Project, Inc. ("Africa Project, Inc.") allow me to volunteer my time to assist the organization. I acknowledge that this volunteer relationship is primarily for my benefit and I enter into it because I derive satisfaction out of donating my time. I am committed to providing assistance on a voluntary basis and do not expect to be paid for my time. Specifically, I agree that: • Donation of Time: My decision to donate my time to Africa Project, Inc., is made of my own free will, without coercion or pressure by Africa Project, Inc. • Personal Benefit: The volunteer time I spend is primarily for my benefit, so that I may have the satisfaction of knowing that I am assisting a non-profit organization; • No Employment Relationship: I acknowledge that I have no employment relationship with Africa Project, Inc. and do not expect to receive any offer of employment as a result of my volunteer activities; • No Entitlement to Compensation: I understand that I am not entitled to any compensation or benefits in exchange for the time that I donate to Africa Project, Inc. and I have no desire to receive compensation or benefits from Africa Project, Inc. and • At Will Service: I understand that Africa Project, Inc. may ask that I cease providing volunteer services for the organization at any time, for any reason, with or without notice. I understand that: • I must be at least 18 years old to participate. • Medical insurance coverage is not included in the program cost. These are the responsibilities of the volunteer. • Africa Project, Inc. is not responsible for loss of property, personal injury, illness, accident, delay or expense sustained by the volunteer while participating in our program. • Africa Project, Inc, and its agents are not responsible for any financial obligations or liabilities the participant may incur including damages to property, or injury to others while participating on this program. • Africa Project, Inc. is not responsible for the cost of extra activities (sightseeing, language class, etc) incurred during the course of your program. Daily transportation costs are the volunteer’s responsibility. Confidentiality. I understand and acknowledge that during my volunteer service with Africa Project, Inc., I will have access to Confidential Information not generally known to the public concerning the business of Africa Project, Inc. I agree that during my volunteer service with Africa Project, Inc. and at all times thereafter, I will hold Africa Project, Inc.’s Confidential Information in strict confidence, and will not disclose or use such information outside the scope of my volunteer service with Africa Project, Inc. or without Africa Project, Inc.’s prior written authorization. For purposes of this Agreement, "Confidential Information" includes, but is not Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: firstname.lastname@example.org 5 VOLUNTEER APPLICATION FORM limited to, information regarding projects and potential projects, organizational practices, donors and potential donors, methodologies, management philosophy and information concerning Africa Project, Inc. employees and volunteers. I further agree and understand that I will immediately return all Africa Project, Inc.’s Confidential Information at the end of volunteer service, or whenever requested by Africa Project, Inc. Print Name: _____________________________________________________________ Date: __________________Signature: _________________________________________ Title or Position: _________________________________________________________ Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: email@example.com 6 VOLUNTEER APPLICATION FORM INTERNSHIP AND VOLUNTEER PROGRAM INFORMATION Africa Project, Inc. offers internships and volunteer opportunities at its national headquarters in Durham, North Carolina. The program is designed to provide students and recent graduates service learning opportunities to get involved in community development, international experience, and educational programs and to promote the spirit of public service. Internship Positions Available: Opportunities are available to work at our local office including administration, program development, graphic and web designs, community outreach and project coordination. Eligibility: Internship candidate must be a graduate student; an undergraduate student; or have recently graduated from college. Volunteer positions are open to anyone regardless of educational level or affiliation as long as they are in good health to travel and work. General Information: Interns are expected to work between 10 and 40 hours a week depending on their availability. Internships are offered year round. Interns may receive academic credit if an agreement is made between the Africa Project, Inc., office and the intern’s college or university. Volunteer opportunities are flexible all-year round. Application Procedures: Candidates must complete an application form and submit it with their resume. Some internship or volunteer positions may require additional application items, such as a writing sample. All application items must be submitted as a complete package. Incomplete applications will not be reviewed or considered. Application Deadlines: There are no deadlines for our programs, however volunteers or interns should plan ahead and allow for ample time for Africa Project, Inc. staff to process your application. We suggest that applicants should have a specific idea o f what they want to do before applying. In this way, we can place them accordingly based on needs, skills, talents and qualification levels. Checklist: Completed Application, passport size photograph, list of 2 references, resume, and copies of related work experiences. PROGRAM COSTS Volunteer and Internship positions at our local office is unpaid and is free of charge to you. Although we know money can help support our causes, we are not necessarily interested in your money but rather, in your skills, talents, and commitment to service and community development. * Africa Project is a registered tax-exempt non-profit organization in the USA. Africa Project, Inc., recruits volunteers and interns without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, or any other protected status. Africa Project, Inc., P.O. Box 386, Chapel Hill, NC 27514. Tel: 1(919) 439-0480 Website: www.africaproject.net Email: firstname.lastname@example.org 7
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