Volunteer Application Form

1. GENERAL INFORMATION

Full Name:

Nationality: Passport No.:

Occupation: Date of birth:

Address (street address, suburb, city, postcode, country):

Phone: (h): (m): (w):

Email address:

2. MARITAL STATUS
Single Engaged Married Widowed Divorced
Spouses name: Nationality:

Occupation: Passport No.:

3. SPECIALIST SKILLS (please list any skills you have that are relevant to volunteering with us)

4. QUALIFICATION(S) OBTAI NED

Qualification Year Obtained Institution

5. EMERGENCY CONTACT PERSON

Name: Relationship:

Address (street address, suburb, city, postcode, country):

Phone: (h): (m): (w):

Email address:
6. How did you learn about the Camillian Home?

7. What are your reasons for wanting to volunteer with Camillian Home?

8. How would you like to get involved or what kind of activities are you interested in doing?

9. Please share any other comments you may have about your application to volunteer at
Camillian Home (e.g., ideas, suggestions, personal background, concerns)

10. Please give the dates of your availability to volunteer:

Start date (dd/mm/yy): End date (dd/mm/yy):

11. Do you want to stay on-site at the Camillian Home volunteer accommodation?

Yes No
12. Have you ever been convicted, plead no contest, or plead guilty to a felony or misdemeanor?

Yes No

If yes, please give details:

13. Please provide two references who have known you for more than two years (excluding
relatives and roommates)

(1)
Name: Relationship:

Address (street address, suburb, city, postcode, country):

Phone: (h): (m): (w):

Email address:

(2)
Name: Relationship:

Address (street address, suburb, city, postcode, country):

Phone: (h): (m): (w):

Email address:

Signature: Date:

*Please note that incomplete applications will not be processed.

*Please include an up-to-date CV, a recent photo of yourself, a copy of your passport, and a
copy of your visa to Thailand (if possible) when you submit your application. Camillian
Home reserves the right to request a police clearance certificate.

Camillian Home for Children Living With Disabilities

81/2 Luangphang Road, Khumthong, Latkrabang, Bangkok ,10520, Thailand
Tel: +66 (0) 2360 7852 Fax: +66 (0) 2360 7853
E-mail: camillianhome@gmail.com Website: www.camillianhomelatkrabang.org