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Registration

The information you give us in this questionnaire is confidential and only for internal use. Required fields are marked with an asterisk (*).

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General information

Salutation *
First Name *
Last Name *
Birth Date
Nationality
Occupation
Address *
Postal code
City *
State
Country *
Home Phone
Work Phone
Mobile Phone
Fax
Email

Interests and motivations

Please check all fields that interest you and/or you would like to help with:

In order to better adapt the program to your needs, please specify in a few sentences why you are volunteering.

Experience

Have you volunteered before? Yes No If yes, please specify.

Language skills

Please specify your language skills here.

Native
Advanced
Intermediate
Beginner
Comments

Knowledge, skills and abilities

Specify any special skills you have that you are willing to contribute.

Availability

Do you have any comments on your availability?

Special Concerns

Please check this box if there are any issues that you would like to discuss privately regarding your application (special health concerns, prior criminal record, etc.)

By submitting my application, I permit ICVolunteers to share any information I submit, including my resume, with its partner organizations in the attempt to find suitable volunteer positions for me. I understand that ICVolunteers will not share, sell, publish or otherwise divulge any of my personal information - including my email address - with third parties, without my permission.

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