Long Term Volunteer Application

Visions in Action

Attach Photo of Self

2710 Ontario Road, N.W. • Washington, D.C. • 20009 Phone 202-625-7402 • Fax 202-588-9344

VOLUNTEER APPLICATION □ 6 Months

□ 12 Months

Program Departure Date____________

Please word process, type or print clearly. Name Current Address State/Province

Zip/Post Code Evening Phone

Day Phone

Social Sec.#/ID# C ity Countr y Fax

Email C ity

Permanent Address State/Province

Countr y

Zip/Post Code Evening Phone

Day Phone Occupation

Fax

Employer

Marital Status Birth date Citizenship Two Emergency Contacts (name, relation, full address, day and evening phones) 1. 2.

For which country program(s) are you applying? Please rank your choices (First=1, Last=8) ___Mexico (6 mo) ___South Africa (6 mo) ___Tanzania (6 mo) ___Uganda (6 mo) ___Mexico (12 mo)

___South Africa (12 mo)

___Tanzania (12 mo)

___Uganda (12 mo)

Please circle your location preference for Tanzania (Moshi or Arusha).

For which positions are you applying? Please rank your choices (First=1, Last=8) ___Project Manager ___Program Assistant ___Health Professional ___Public Health Educator

___Youth Group Coordinator

___Researcher

___Community Development Worker

___Journalist

___Other______________

Please rank the sectors that interest you. Please rank your choices (First=1, Last=20) ___Agriculture ___Food/Nutrition ___Natural Sciences ___Appropriate Technology

___Family Planning

___Refugees/Relief

___Children (Ages 1-12)

___Health

___Small Business

___Communications

___Housing

___Social Sciences

___Democratization

___Human Rights/Law

___Women

___Education

___Mentally Disabled

___Youth (Ages 13-20)

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___Environment/Conservation

___Physically Disabled

___Other__________________

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Language Skills Language

Years spoken or studied

Proficiency (Excellent—Intermediate—Poor)

Education (post secondary-school) School

Location

Major/Degree

Date of Graduation

Work Experience Position/Responsibilities

Firm/Organization

Location

Dates

Volunteer and Community Service Experience

International Work, Study, and Travel Purpose

Location

Other Skills and Talents (Artistic, musical, athletic, literary, technical, trade)

Awards and Accomplishments

Dates

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VOLUNTEER PLACEMENT PREFERENCES Do you prefer office or field emphasis?  All Office  Mostly Office/Some Field 

All Field





Mostly Field/Some Office

Would you prefer to work in a rural or an urban setting?  Strongly prefer urban  Would like urban placement, but rural is fine 

Strongly prefer rural



Half Field/Half Office



No preference

Would like rural placement, but urban is fine

How much supervision would you prefer?  Much—I would like to learn about development by working closely with a mentor.  Some—I need some guidance, but I prefer to work independently once I am shown direction.  Little—I prefer to work independently. Do you have any religious preference? You may leave blank any that you would not accept.  A Christian missionary organization  An Islamic development organization 

A national Christian organization



An Islamic publication



A Christian publication



A Jewish development organization



A Christian organization doing secular work



A Jewish publication



I do not want any religious organization



I have no preference toward religion

I do not want any religious organization Specific faith or denomination preferred (optional): Would you prefer to work for an expatriate or an indigenous organization?  I definitely want an indigenous organization.  I prefer an expatriate organization. 



I prefer an indigenous organization.



I definitely want an expatriate organization.

Would you prefer to work in a small or large organization?  I definitely want a small organization.  I prefer a large organization. 

I definitely want a large organization.





No preference

I prefer a small organization.

Journalists—rank your placement preferences. (First choice=1) Leave blank any of no interest.  Newspaper reporter  Magazine reporter  Nonprofit newsletter editor 

Newspaper sub-editor



Magazine sub-editor



Publisher’s assistant



Video asst. producer



Radio asst. producer



TV asst. producer



Photographer



Bookstore asst.

Do you have any other preferences regarding your placement? Please feel free to be as explicit as you like, using extra paper if necessary.

Which are your housing preferences?  I would like my own room in a Visions group house. I would like to share a room in a Visions group house.  I will find my own housing. This will be my own responsibility. I understand that by choosing this option, I may significantly increase my costs.  Smok I am a  Non-smoker er Other roommate preferences: Please list names and addresses of two individuals who would enjoy receiving our information. 

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1.

2.

How did you learn of Visions in Action? NAMES OF REFERENCES

Please ask two people who are thoroughly familiar with you for academic or work-related recommendations. These are the only forms of recommendations that will be accepted by Vision in Action. Your recommendations should preferably be typed on letterhead, and must be sealed, signed and dated in separate envelopes, enclosing the recommendation cards that came with this application packet. At least one of the letters must comment on your foreign language ability if you are applying to a country where the working language is other than your first language. Name Position Complete Address and Telephone Number 1.

Organization/Company

2. How did you hear about Visions in Action?

BEFORE YOU MAIL IN YOUR APPLICATION… Please take the time to fill in this checklist to ensure that your application is complete. I have included:  This signed, completed application  A non-refundable application fee of US$45.00  My résumé in the working language(s) of the country/countries to which I am applying  Four passport size photographs  A photocopy of the page in my passport which includes my photo  Two letters of recommendation in separate, sealed envelopes  Essays I hereby affirm that all of the information supplied herein is true and correct. Signature (please initial

Date

if submitting by e-mail)

Please return to:

Visions in Action 2710 Ontario Road, NW Washington, D.C. 20009, USA Telephone: 202-625-7402 E-mail: [email protected]

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Essay Questions Please answer all of the following questions on separate paper. Answers must be typed. Questions 1-7 require answers of a few sentences while question 8 requires an answer of 400 words. 1.

Why are you applying to become a Visions in Action volunteer?

2.

What do you think will be the most difficult thing about living and working in a poor area of an African or Mexican city on a very modest budget?

3.

How will you raise the funds necessary to become a volunteer? What community fundraising activities have you planned, if any? It is important to specify how you will obtain the required funds.

4.

On what grounds did you select the position(s) and sector(s) to which you are applying, as you specified on page one of the application? Explain how your previous skills and experiences will benefit your work. If you do not have experience in your chosen field, explain how you will gain experience prior to going overseas (volunteer work, a job, skills training course, additional study).

5.

What does the term “Development Assistance” mean to you personally? How do you imagine someone from the developing world would define the same term?

6.

Using your country of first choice as an example, what do you think is the greatest problem with development practices in this country today, and how can this problem be overcome?

7.

What will you do to advance the Visions in Action program in general?

8.

Please write an essay (about 400 words) commenting on one of the following topics, drawing from your personal experience where applicable: Ethnocentrism, Racism, Sexism, Economic Inequality, Human Rights, Urban Poverty, War.

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Visions in Action Development Volunteer Programs in Africa and Latin America Letter of Recommendation

Application due date_________________

Name of applicant____________________________Country of interest______________________ Name of reference_________________________________________________________________ Occupation____________________________Employer___________________________________ Length and nature of relationship with applicant__________________________________________ To the Recommender: The applicant has applied for a volunteer position in a developing country with Visions in Action. The applicant, if accepted, will be placed with a nonprofit development organization for a six or twelve month period. On a separate sheet of paper, preferably letterhead, please comment on the applicant's ability to successfully carry out such a volunteer assignment, and based on your prior experience evaluate the applicant in the following four areas: 1) Teamwork 3) Cross-cultural adjustment 2) Leadership qualities and initiative 4) Concern for social justice If the applicant is applying for Mexico and you are familiar with the applicant's language abilities, please note their proficiency level here: (Spanish for Mexico) Proficiency: Excellent Good Average Fair Poor Please return your recommendation to the applicant in a sealed envelope, signed and dated on the back. -------------------------------------------------------------------------------------------------------------------------------

Visions in Action Development Volunteer Programs in Africa and Latin America Letter of Recommendation

Application due date_________________

Name of applicant____________________________Country of interest______________________ Name of reference_________________________________________________________________ Occupation____________________________Employer___________________________________ Length and nature of relationship with applicant__________________________________________ To the Recommender: The applicant has applied for a volunteer position in a developing country with Visions in Action. The applicant, if accepted, will be placed with a nonprofit development organization for a 6 or 12-month period. On a separate sheet of paper, preferably letterhead, please comment on the applicant's ability to successfully carry out such a volunteer assignment, and based on your prior experience evaluate the applicant in the following four areas: 1) Teamwork 3) Cross-cultural adjustment 2) Leadership qualities and initiative 4) Concern for social justice If the applicant is applying for Mexico and you are familiar with the applicant's language abilities, please note their proficiency level here: (Spanish for Mexico) Proficiency: Excellent Good Average Fair Poor Please return your recommendation to the applicant in a sealed envelope, signed and dated on the back.

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