Registration Form First Name: Last Name: Address: City

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Chuyển đổi dữ liệu	30.08.2016
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Emergency Contact
Skills and Interests

Sở Lao Động TBXH – TP.Vũng Tàu

Trung Tâm Bảo Trợ Trẻ Em Vũng Tàu

Volunteer Registration Form

First Name:

Last Name:

Address:

City:

Country:

Postal Code:

Email Address:

Home Phone:

Work Phone: Ext:

Mobile Phone:

Date of Birth:

Date of availability:

Length of stay: days/weeks

Emergency Contact

First Name:

Last Name:

Address:

Home Phone:

Work Phone: Ext:

Mobile Phone:

Describe any previous volunteer experience.

Skills and Interests:
Education Background:

Current Occupation:

Hobbies, Interests, Skills:

Our work involves the running of three centres. One centre in Vung Tau city accommodates babies, children under 8, HIV children and disabled children. The second centre, 7km from Vung Tau city, accommodates children ranging in age from 8 to 18. The third centre is in Long Hải which is 25km from Vung Tau. This centre provides schooling and food for underprivileged children in the Long Hải area. Phase 2, which comprises accommodation and training facilities will soon be in operation.
Local staff speaks no English. This needs to be kept in mind when planning and preparing volunteer activities.

Is there a group you particularly wish to work with?

Babies �� Children under 8 � Disabled children �

Teens (Vung Tau) � School children (Long Hải) �

Is there a particular type of volunteer work in which you are interested?
Medical �� Therapeutic � Leisure/Sporting � Art/Craft � Music �

Basic English Education �

Please outline proposed activities:

What are you hoping to gain by volunteering at Trung Tâm Bảo Trợ Trẻ Em?

Volunteer Agreement – Please read the following and check to verify that you have read the information:

* 1. I understand that my participation is purely voluntary and that there will be no financial remuneration whatsoever. I am willing to finance all activities conducted by myself while volunteering.

* 2. I understand while representing Trung Tâm Bảo Trợ Trẻ Em I must conduct myself in an acceptable and professional manner, and failing to do so will lead to immediate dismissal from volunteer service.

* 3. I agree to abide by Trung Tâm Bảo Trợ Trẻ Em Rights and Procedures as outlined during the orientation/interview process.

* 4. I understand that Trung Tâm Bảo Trợ Trẻ Em does not provide any insurance cover for volunteers.

Signature: Date:

____________________________________________________________________

Please e-mail this form to info@vungtauorphanage.com

When submitting the Volunteer Registration Form please e-mail a copy of your passport. Local residents must also enclose proof of residential address.

A volunteer registration fee is required if your volunteer application is approved.

Volunteer registration fee for non residents - $200

Volunteer registration fee for residents - $50

* Fee exemption – see below
The fee can be paid upon arrival or deposited into the following bank account.
Vietcom Bank

Vung Tau Branch

27 Tran Hung Dao Street

Vung Tau
Account Name: Trung Tam Bao Tro Tre Em Vung Tau

Account No.: 008.100.0099790

SWIFT Code: BFTVVNVX008

Thank you for your willingness in wanting to volunteer with our organisation. We appreciate your kindness and know that our children will benefit from the time and love that you will give them.

* Fee exemption

All medical professionals and members of associations that are working directly with

Trung Tâm Bảo Trợ Trẻ Em Vũng Tàu is exempt from paying the volunteer registration fee.

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