ࡱ> =?< $bjbj *oo$ 4$$$$%4&G%G%G%G%G%G%G%G%&&&&&&&'p*&G%G%G%G%K%&_&G%G%&_&_&_&O%vG%G%&_&G%&_&_&_&ؓ~$%_&{& &0&_&N+_&N+_&_&_&G%G%G%$$$ m:  Application Form for Volunteer Placement in Social Services in Israel Personal Information First Name Family Name Date of Birth (dd/mm/yyyy) Male Female Address.. City Country.. Zip Code... Home Phone (incl. country code) + E-mail Address Citizenship. Passport number Do you have any medical condition that may affect your carrying out volunteer work? If yes, please describe Have you been convicted of any criminal offence in the past? Yes.. No. Emergency Contact Information First name Family Name.. Home Phone (incl. country code) +.. Relationship to yourself. Education I have graduated from: High School. College/University. My major field of study was.. Volunteer Assignment Dates you are available for a volunteer assignment (min. three months) From dd/mm/yyyy To dd/mm/yyy. Requested field of volunteer assignment First Choice: Elderly Children-at risk Autistic Children Developmentally disabled Physically disabled Disadvantaged Children Disturbed Youth Health Services Second Choice: Elderly Children-at risk Autistic Children Developmentally disabled Physically disabled Disadvantaged Children Disturbed Youth Health Services Languages you speak Acquired skills or hobbies that would be useful in your volunteer work: Do you have first aid or paramedical experience that would be useful in your volunteer work? Yes. No.. Previous Employment or Volunteer Experience Have you had any previous employment or volunteer experience? Yes.. No.. If yes, please give details of where, in which field and dates of employment and/or volunteer service: Name and contact information of employer or volunteer coordinator: References Please provide the names and contact information of two people (not relatives) who can attest to your character and abilities: 1. First name.. Family Name Address.. City. Country Zip Code Home Phone (incl. country code) + E-mail Address.. Relationship to yourself.. 2. First name.. Family Name Address.. City. Country Zip Code Home Phone (incl. country code) + E-mail Address.. Relationship to yourself.. Additional Information What is your personal background? Why do you want to go to Israel? What do you want to gain from the experience, and what are your intentions afterwards? Please include any additional information you think might be relevant to your being accepted for a volunteer assignment: Who told you about Meet The People/Israelsmissionens Unge? Month and year of departure: __________________ Intended length of stay in Israel: _________________ I have completed this application fully and honestly. I understand and agree to comply with the terms outlined in the Meet the People programme and its general terms (generelle betingelser) Date of Completion of this Application (dd/mm/yyyy): EFGH\] S T U r s    | } ~ 4 5 t u XZ899:<RSwxz{|}ݿݯ!hZg;hB*^J_HaJph$hZg;hB*\^J_HaJphhB*\^J_HaJph hZhhZg;h6Z]hZg;h6] hZg;hhZg;hZhZg;hVb>*\hZg;hK>*\6FGH]  B b ~   S T U s    $gd  K | } ~ 3 4 5 C K \ n  ) $gd) = T d t u v XYZ89:;~ > $gd>]"#Vu :;<STwxyz{| $gd|}tuvwxy ! $gd"$ & 0` P@1$7$8$A$H$gdwxy!$hB*^J_HaJph!hZg;hB*^J_HaJphh hZg;h$hZg;hB*\^J_HaJph"#$ $gd21h. A!"#$% (2*2? 01h:p. A!"#$% P (2*2; 01h:p. A!"#$% (2*26666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmHnH sHtH N`N Normal$A$CJ_H aJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 6U6 ^ Hyperlink >*B*phPK![Content_Types].xmlj0 u$Nwc$ans@8JbVKS(.Y$8MVgLYS]"(U֎_o[gv; f>KH|;\XV!]օ Oȥsh]Hg3߶PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!\theme/theme/theme1.xmlYOoE#F{o'NDuر i-q;N3' G$$DAč*iEP~wq4;{o?g^;N:$BR64Mvsi-@R4Œ mUb V*XX! cyg$w.Q "@oWL8*Bycjđ0蠦r,[LC9VbX*x_yuoBL͐u_. DKfN1엓:+ۥ~`jn[Zp֖zg,tV@bW/Oټl6Ws[R?S֒7 _כ[֪7 _w]ŌShN'^Bxk_[dC]zOլ\K=.:@MgdCf/o\ycB95B24S CEL|gO'sקo>W=n#p̰ZN|ӪV:8z1f؃k;ڇcp7#z8]Y / \{t\}}spķ=ʠoRVL3N(B<|ݥuK>P.EMLhɦM .co;əmr"*0#̡=6Kր0i1;$P0!YݩjbiXJB5IgAФ޲a6{P g֢)҉-Ìq8RmcWyXg/u]6Q_Ê5H Z2PU]Ǽ"GGFbCSOD%,p 6ޚwq̲R_gJSbj9)ed(w:/ak;6jAq11_xzG~F<:ɮ>O&kNa4dht\?J&l O٠NRpwhpse)tp)af] 27n}mk]\S,+a2g^Az )˙>E G鿰L7)'PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 /_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!\theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] 5u$ *4*u*FGH]Bb~  STUsK|}~ 345CK\n)=TdtuvXYZ89:;~ >]" # V u : ; < S T w x y z { | } t u v w x y  ! " # & (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((( (((((((((((((((((((((((((((((((((((((((((((( ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((0000000000000000000000000000$  ) >|$& &   & GMNR-5>JLQRW 8 & ::::::::::::& @$ `@UnknownGTimes New Roman5Symbol3 Arial3Times"qh . !24dM 3QHX)?K2EApplication Form for Volunteer Placement in Social Services in IsraeldinaloLise Sndergrd Oh+'00 HT t  'HApplication Form for Volunteer Placement in Social Services in Israeldinalo Normal.dotmLise Sndergrd2Microsoft Word 12.0.0@@~@~  ՜.+,00 hp  'MOLSAM  FApplication Form for Volunteer Placement in Social Services in Israel Title  !"#$%&'()*+-./012356789:;>Root Entry FN~@1TableN+WordDocument*SummaryInformation(,DocumentSummaryInformation84CompObj`ObjectPoolfN~fN~ F Microsoft Word 97-2004 DocumentNB6WWord.Document.8