Application Form for Voluntary Services (weltwärts Programme

Application Form for Voluntary Services (weltwärts Programme - North-South)
Personal data
Name (as per passport)*

First nameSecond name(s)Family name
Gender*
Please specify your gender identiy.
Date of Birth*

DayMonthYear
Place of Birth*
Address*

Street and no.

Straße und Hausnummer (zweite Zeile)

Postal code and cityCountry

Country
Phone / Mobile*
E-Mail*
Nationality*
Passport (please indicate if you have a valid passport)

Passport Number

Straße und Hausnummer (zweite Zeile)

Date and Place of IssueDate of Expiry

Postleitzahl
Family
Father´s Name*

First NameLast Name
Mother´s Name*

First NameLast Name
Person to notify in case of ermergency during the voluntary service (this contact will also be stated on your Emergency Card you will receive from us)*

NamePhone / Mobile
Abilities / Experience in the Charitable Field
Languages (native speaker / fluent / good / average / basic / no knowledge*
English: Hindi: Other:
What is your mother tongue?*
Computer skills, kindly specify:*
Any other skills which you would like to share with us (e. g. musical / technical skills)?*
Have you already worked anywhere on an honorary / charitable basis? If yes, what did you do?*
Health
Do you suffer from allergies? If yes, explain, why it does not impede your intended voluntary service. Is there any kind of food, you cannot tolerate?*
Do you have any health-related limitations, physical or mental impairments (this also refers to past cured diseases, for example a dignosed but overcome depression) which you deem important for us to know in order to be able to meet your needs and provide you with a good voluntary service?*
Voluntary Service
For which field of volunteering do you apply? It is only possible to apply for a field of volunteering and not for a specific Place of Assignment (read our homepage www.diz-ev.de and www.weltwaerts.de).

Kindly provide us with your preferred month of departure and the desired duration. We recommend a voluntary service of at least 9 months in order to fully acclimatize in the host country and your field of work.
In which country would you like to do the voluntary service?*

IndiaVietnam
Which field of volunteering (first choice)?*
Which field of volunteering (second choice)?
Which month of departure? Please add the year.*

MarchSeptemberYear:
Desired duration (minimum 6 months)*
Do you have any practical experience in this field(s)? If yes, what kind? If no, why do you think, you still qualify for the post? Why do you want to work in the field(s) you selected?*
Have you previously participated in a voluntary service? Kindly specify!*
Please note, that you are not permitted to participate in the weltwärts programme more than once!
Have you been to India or Vietnam before? If yes, where exactly did you go and what did you do?*
Which problems and challenges do you expect? Are you ready to spend a long period of time living in a different culture? What kind of problems can you imagine that you might personally encounter?*
Are you willing to share a room with another volunteer during your stay? Are you willing to live under simple living conditions?*
Why do you wish to work abroad (and not at home) as a volunteer for some months?*
What are you planning to do after the voluntary service?*
As we would like to establish a long-term relationship with you, we would be interested in knowing how you could imagine your commitment for DIZ or its Partner Organisations after your return (e. g. organising fundraising activities, awareness raising activities such as lectures, photo exhibitions...)? Kindly share with us concrete ideas!*
How did you find out about the weltwärts programme and the voluntary service with the DIZ (please select only the first source)?*

DIZ websiteDIZ Instagram profileDIZ Facebook profileDIZ Twitter profileweltwärts websitefriends"Kirchentage"other, namely:
File Upload

Please upload the following documents in English language (as we forward your application to our Partner Organisations at a later step) and consider the given file names.
Resume / CV*

File format: PDF - File name: surname, first name_CV.pdf
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Letter of Motivation (about one page)*

File format: PDF - File name: surname, first name_motivation.pdf
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Portrait Photo*

File format: JPG, JPEG or PNG - File name: surname, first name_photo.jpg
Cancelof
Declaration of conformity
I hereby confirm that I have read and understood all the information provided on DIZ’s website under www.diz-ev.de/weltwaerts-freiwilligendienst, as well as the information about the supporters’ circle (Informationen zum Förderkreis) and that I am able to comment on these contents in my own words when asked in the selection interview. I hereby confirm that I will commence my voluntary service in the specified month. I filled in this form in English by myself. I hereby declare that all the above said information is true to my knowledge. I am in good health and I am not aware of any health or other reasons making my voluntary service abroad unreasonable.
Signature*

Clear
Einwilligungserklärung nach Art. 6 Abs. 1 Satz 1 Datenschutz-Grundverordnung im Hinblick zum Zwecke der Teilnahme am weltwärts-Freiwilligendienst:

Da im Rahmen der Teilnahme am weltwärts-Programm personenbezogene Daten verarbeitet und übermittelt werden, kann ohne die nachfolgende Einwilligungserklärung Ihre Bewerbung nicht weiter berücksichtigt werden.

Erklärung:

Zur Erfüllung vorvertraglicher Maßnahmen sowie ggfs. für die Teilnahme am weltwärts-Programm bin ich damit einverstanden, dass die von mir im Bewerbungsbogen genannten personenbezogenen Daten, die für die Programmdurchführung notwendig sind, an mit dem weltwärts-Freiwilligendienst befasste Stellen und Institutionen (Koordinierungsstelle weltwärts in der ENGAGEMENT GLOBAL gGmbH, Auswärtiges Amt, Bundesministerium für wirtschaftliche Zusammenarbeit und Entwicklung, Deutsche Botschaft und angeschlossene Generalkonsulate, Versicherungsdienstleister und Versicherungen, Buchungsportale, Reisebüros und Fluggesellschaften, die jeweiligen in Betracht kommenden Partnerorganisationen in Indien und Vietnam, Referierende der Zwischenseminare sowie das Tagungshaus für die Zwischenseminare) weitergegeben werden, soweit hierdurch meine schutzwürdigen Belange nicht beeinträchtigt werden. Ich bin darauf hingewiesen worden, dass die im Rahmen der vorstehend genannten Zwecke erhobenen persönlichen Daten meiner Person unter Beachtung der Datenschutz-Grundverordnung (DSGVO), erhoben, verarbeitet, genutzt und übermittelt werden. Ich bin zudem darauf hingewiesen worden, dass die Erhebung, Verarbeitung und Nutzung meiner Daten auf freiwilliger Basis erfolgt. Ferner, dass ich mein Einverständnis mit der Folge, dass ggfs. der Freiwilligendienst abgebrochen werden muss, verweigern bzw. jederzeit mit Wirkung für die Zukunft widerrufen kann. Meine Widerrufserklärung werde ich richten an:

Deutsch-Indische Zusammenarbeit e. V., Odrellstraße 43, 60486 Frankfurt am Main, info@diz-ev.de.

Im Fall des Widerrufs werden mit dem Zugang meiner Widerrufserklärung meine Daten bei der Deutsch-Indischen Zusammenarbeit e. V. und ggfs. beim Zweigverein, der Deutsch-Indischen Zusammenarbeit Baden-Württemberg e. V. gelöscht.
Ja, ich habe die Datenschutzerklärung verstanden und stimme dieser zu.
Signature*

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Application Form for Voluntary Services (weltwärts Programme - North-South)

Personal data

Family

Abilities / Experience in the Charitable Field

Health

Voluntary Service

File Upload

Declaration of conformity