Volunteer Application Form

Thank you for your interest in volunteering for the Camillian Home for Children Living with
Disabilities.

We are always interested to hear from people who would like to volunteer with Camillian
Home in Thailand. Volunteering is both challenging and rewarding. The activities involved in
this may include playing with the children, stimulating them, teaching them to feed
themselves, encouraging movement, helping their speech and, most importantly, just showing
them love. You will also make an effort to contribute to the day-to-day running of the centre
in washing up, cleaning and keeping the place tidy. The role requires: • Patience • Enthusiasm
• Maturity • Love
The work is emotionally draining, and therefore volunteers must show a level of emotional
stability and maturity.
If you are professionally-trained, you can use your skills to help the work of Camillian Home.
The primary aim of all volunteers is to support the staff in caring for the children, training
such as physiotherapy, nursing and occupational therapy is an additional tool you can use.
Working hours are Monday to Friday, 8.30am to 5.00pm. This can be adjusted in special
circumstances. Volunteers are expected to participate and help in all areas of care in order to
provide for the needs of children and may include administrative tasks dependent.

Please help us to determine how to make the best use your skills as a volunteer by attaching
your resume and filling out the questions below:

1. GENERAL INFORMATION

First Name: _______________________ Last Name: ______________________________

Address: __________________________________________________________________________

City: _________________ Province: __________________ Postal Code: _________________

Home #: (_____) ______________________ Business:______________________ ext._________

Cell#: (_____) __ __________________ Email: __________________________________

How did you find out about the Camillian Home?

 Word-of-mouth  Friend
 Work place  Special Event
 Media (eg. television, newspaper)  Other

1
What best describes your current situation?
Employed  Retired  Seeking work  Student  Other

Please describe some of your reasons for wanting to volunteer with the Camillian Home:

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Do you speak any languages in addition to English? If yes, which one(s)?

1.____________________________ 2._______________________________

3._____________________________ 4._______________________________

Work / volunteer experience with the following: (Check any that apply)
NGO UN agency
Government agency HIV/AIDS 
Working with marginalized groups Overseas work experience

If yes, please describe:

_________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

2. AVAILABILITY

Please tell us about your availability:

Start date: (dd/mm/yy) ________________End date: (dd/mm/yy) ________________
Hours per week: ________________

Is there anything else that you would like to tell us about your skills/ experience /
interests?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2
3. REFERENCES
Please provide two references. These should be an employer/supervisor or an individual
known through community involvement that you have known for at least 6 months. NOT a
personal friend or family member.

1-Name: ____________________________

Email: ____________________________ Phone: : __________________________

Relationship to Applicant: ____________________________

2-Name: ___________________________________

Email: ____________________________ Phone: : ___________________________

Relationship to Applicant: : ____________________________

Emergency Contact:

Name:: ____________________________ Phone #: : ___________________________

4. CONSENT

I hereby authorize the Camillian Home to obtain references from the above individuals in
connection with my application for a volunteer position. I hereby authorize the above named
individuals to provide a reference in connection with my application for a volunteer position
with the Camillian Foundation, and release them from any liability in regard to it.

I hereby certify that all information included in this application form is true and complete.

Signature: ________________________ Date: ________________________

Thank you for your interest in helping the Camillian Home

3
4