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Personal Information

Name
Home Address
Date of Birth

Person We May Contact in Case of Emergency

Name
Address

Education and Relevant Qualifications

Please indicate your education history: school, courses and other relevant qualifications.
From
Till

Employment and Work Experience

From
Till

2nd Employment and Work Experience (Optional )

From
Till

Personal Skills

Can be anything, Marketing, Graphic design, Dancing, Teaching , Singing, etc
Please list whatever you can that will come in handy during your stay as a volunteer.

Beliefs and Church Involvement

Max 100 words
Max 100 words
Note: This information is only to ensure you the best preparation possible.

Application Form

Expectations

Max 50 words
Max 50 words
Max 50 words

Language

Please indicate your language skills; fill in the boxes using “Basic”, “Working”, “Fluent”.

Health

Criminal Record

Your information stays secure
Your information stays secure

Miscellaneous

Reference

Click or drag files to this area to upload. You can upload up to 5 files.

Photograph

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Important: read this before you sign.

 
  • I, the undersigned, declare all the above information to be truthful and accurate.
  • I understand that I will work under the authority of BLO/LSCM and I will submit to the authority at the project.
  • As a volunteer in BLO ministry, I do hereby, discharge all rights and claims for injury or illness (including death) whether physically or emotional, or property damage or loss of any nature, which I may have or which hereafter accrue to me against BLO’s ministry, for any and all damages and liabilities
  • which may be sustained and suffered by me in connection with my association with and/or arising out of my traveling to, participating with, and returning from any of the work, activities and services of BLO/LSCM’s ministries.
  • I understand that during my stay abroad as a volunteer, I am not allowed to become boyfriend/girlfriend with a child (defined as 0-18 years of age), and/or in any way engage in a sexual relationship with any anyone (outside marriage) during my stay in Uganda.
  • I understand that all finances and all insurances are entirely my own responsibility during my stay abroad, and that BLO/LSCM where I will volunteer cannot be held responsible for any loss or lost in this matter. I understand that I will work as an unpaid volunteer and I will cover all expenses myself. The cost of accommodations/food, for transport to and from the airport, and other transport expenses will be calculated for me when the dates of your arrival and departure are known.
  • I understand that during my time as volunteer, I’m not allowed take any narcotic drugs, drink alcoholic beverages, or smoke and I agree to follow the ministry’s specific guidelines in those matters.
  • I understand that during my time in Uganda I will ONLY volunteer at BLO/LSCM and will not take another volunteer work in any organization except when permitted by the BLO Directors.

Please sign

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