Volunteer Application FormThank you for your interest in volunteering with UKSHK Volunteering

Volunteers play a vital role in the communities across the network of schools in China. All volunteer applications are reviewed with consideration of current volunteer opportunities. The information you provide will be stored in confidence under the provisions of the Data Protection Act. Your completed form will be held securely and confidentially. Only authorized staff will have access to your information.

Personal Details

Name: __________________________________________ Mr. Ms.  Mrs. Miss

Permanent Address: ____________________________________________________________________

Nationality: __________________________ Sex:  Female  Male

Telephone:

(United Kingdom) _________________________ (Hong Kong) _________________________

E-Mail: __________________________________________

Birth-date: _______________________________________ Day / Month / Year

If you are involved with us as a volunteer and an emergency arises, whom should we contact?

Name: _____________________________________ Relationship: _________________________

Telephone: (Home) _________________________ (Mobile) ________________________

Education

Name/Location Degree Major

High School

College/University

List any applicable special skills, training or proficiencies

FOR OFFICE USE

Volunteer Ref # _________ Date ________

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Language ProficiencyMandarinListening and Speaking

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Low

High (Native)

CantoneseListening and Speaking

1 2 3 4 5 6 7 8 9 10

Low

High (Native)

Reading and Writing Chinese *1 2 3 4 5 6 7 8 9 10

Low

High (Native)

English IELTS or equivalentListening

Speaking

Writing

Reading

Equal OpportunitiesEducate Together is committed to equal opportunities and all volunteer recruitment decisions will be based on merit, suitability for the role and experience. All volunteer recruitment decisions will not be influenced by race, colour, nationality, religion, sex, marital status, family status, sexual orientation, disability, age or membership of the Traveller Community. UKSHK Volunteering fully endorses a working environment free from discrimination and harassment.

UKSHK Volunteering is committed to standards of excellence in Child Protection practices. In the meantime, please complete the question below.

Have you ever been convicted of an offence in Hong Kong or elsewhere?

 Yes  No

If you ticked yes, please provide details below

Your Skills and Interests1. Have you ever done any voluntary work before?  Yes  NoIf you answered yes, please tell us a little about the experience.

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2. Write a short statement to describe the reason you wish to go to serve in China as a teacher.

3. Do you have any particular skills or qualities that you could use in your voluntary teaching work?

4. Is there any additional information you would like to bring to our attention?

Medical Conditions

Do you have or have you ever had any physical/mental/emotional difficulties?

 Yes  No

If yes, please list any medical conditions (asthma, diabetes, epilepsy, etc.):_________________________________________________________________________________

List any allergies or allergic reactions to medications _________________________________________________________________________________

List any medications is presently taking:_________________________________________________________________________________

Other pertinent medical information:

I declare that the information I have provided is true. All my actions as a volunteer will reflect the ethos of UKSHK Volunteering and I agree that being Child Centered will be central to my role.

Signed __________________________________________ Date __________________________

For office use only NotesVolunteer Interview _____________________________

Volunteer Group ______________________________

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