| Nationality: | Date of Birth: |
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VOLUNTEERING: Tell us about any previous experience of voluntary work |
| EMPLOYMENT OR OTHER WORK EXPERIENCE: Please tell us about any work you have done in the past including holiday jobs if relevant |
| Dates | Post | Employer |
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| EDUCATION & TRAINING: Tell us about your educational background and any training you have done (eg TEFL, counselling, groupwork, practical skills) |
| Dates | Course | Qualification Obtained | Institution/Awarding Body |
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HAVE YOU TRAVELLED? Have you spent time in Asia or Africa that may help you adapt to life as a volunteer? |
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EXPERIENCE OF BUDDHISM or other spiritual traditions: What experience do you have? |
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OTHER RELEVANT EXPERIENCE: What else have you done that might be helpful to your work as a volunteer? |
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WHAT IS YOUR FINANCIAL POSITION? How far can you contribute towards the cost of your placement? |
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WHAT IS YOUR CURRENT STATE OF HEALTH? |
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HAVE YOU EVER BEEN SUBJECT TO A DISCIPLINARY PROCEDURE OR CRIMINAL PROSECUTION? | YES/NO |
If yes, please provide a full account of the nature, reasons and outcome on a separate sheet
We may need to conduct poilce checks for some volunteer placements. Do we have your permission to do this if necessary? | YES/NO |
PLEASE SUPPLY NAMES, ADDRESSES, PHONE AND E-MAIL FOR TWO REFEREES These should be two people who can comment on your suitability for this programme |
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PERSONAL STATEMENT (in 200-300 words say why you want to join this programme) |
Signed
Date
Please return this form to:
Amida Trust
The Buddhist House, 12 Coventry Road, Narborough, Leicestershire LE19 2GR
THANKYOU
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