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Volunteer Application Form

Sunday 23 June 2013

Please fill out only after reading Volunteer conditions

You may telephone +972 2 9912222 or write to volunteering for further information.

Raida,
Volunteer Recruitment

PLEASE DO NOT PRESS "ENTER" WHILE FILLING OUT THE FORM.

Name

Personal name
Family name
Middle initial
Gender

Address information

Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
Mobile/Cell Phone
FAX
E-mail

Address of any relatives or friends in Israel

Care of
Street address
Address (cont.)
City
Zip/Postal code

Personal Information

Date of birth (dd/mm/yy)
Passport Number
Marital status
Education level
Languages
Work experience
Main reasons for wishing to volunteer in NSWAS
Health problems (please explain)
Do you have a valid driver's license? (This is useful for us to know)
Yes: No:
Period in months that you have had a driver's license:

The period you would like to volunteer from:

From (dd/mm/yy) To (dd/mm/yy)

Alternative dates:

From (dd/mm/yy) To (dd/mm/yy)

In pressing the submit button, I confirm the above personal details.  I have read and agree to the conditions for working as a volunteer, as described in Volunteering.


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