Application For Volunteering - Maison Chance Association

VOLUNTEERING APPLICATION FORM

INFORMATIONS

Firstname and lastname: *

Date of birth: *

Address: *

Postal code: *

City/Province: *

Country: *

Phone Number: *

E-mail: *

EMERGENCY CONTACT

First name and last name: *

E-mail: *

Phone Number: *

Relation: *

MEDICAL INFORMATIONS

Please inform us of any specific information relating to your health that are important for your mission (illness, disability, drug treatment):

Do you have any specific medical treatment? If so, please specify: *

Please let us know about any special situations (eating disorders, treatments, allergies, other specific needs, etc.): *

Have you received a vaccine against seasonal flu or other diseases? (dengue fever, viral fever, parasites, ...) ?: *
Not yetYesI don’t want to

What vaccine did you get ?: *

If you follow a particular diet, please tell us: *

ASSOCIATIVE LIFE

Are you or have you been a member of an association or an organization ? (type of mission, length of your commitment): *

Have you ever participated in humanitarian missions or have you ever travelled abroad? (location, type of mission, duration): *

YOUR PORTRAIT

Tell us a little about yourself (your tastes, ambitions, projects, qualities, defects, etc.): *

Your answer: *

MISSION SOUGHT

Occupation – Domain:

Your answer:

Work / Studies:

Your answer

Other:

Your answer

Other professional activities:

Your answer:

Current situation: *

Your answer: *

What position would you like to hold at Maison Chance ?: *

Your answer: *

What skills do you want to implement during your mission? (teaching, leadership, professional competence) ?: *

Your answer: *

Desired duration of the mission:

From: *

To: *

MOTIVATION

What motivates you to come to Maison Chance ? What are your expectations ? How do you think you can contribute to the project ?: *

Your answer: *

LANGUAGES

VARIOUS QUESTIONS

How do you think you will react if you disagree with the directives of a responsible person ?: *

Your answer: *

Can the manager offer you a different position than the one you applied for ?: *

Your answer: *

Have you ever lived in a group ? How do you see community life with people of different ages and cultures ?: *

Your answer: *

How do you plan your return to your home country (work, school, family) ?: *

Your answer: *

HOW DID YOU KNOW MAISON CHANCE ?

Please send your CV by email to the following address: vietnam@maison-chance.org

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VOLUNTEERING APPLICATION FORM

INFORMATIONS

EMERGENCY CONTACT

MEDICAL INFORMATIONS

Please inform us of any specific information relating to your health that are important for your mission (illness, disability, drug treatment):

ASSOCIATIVE LIFE

YOUR PORTRAIT

MISSION SOUGHT

Desired duration of the mission:

MOTIVATION

LANGUAGES

Vietnamese

English

French

VARIOUS QUESTIONS

OTHER QUESTIONS

HOW DID YOU KNOW MAISON CHANCE ?

OFFICE

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