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Request to volunteer with us
Volunteer Application form
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Name
*
First
Last
Gender
Male
Female
Are you a fluent Ateso and English speaker?
Yes
No
Email
*
Please confirm you are over 18
Yes
No
Do you have computer skills?
Yes
No
P.O Box Number
Do you hold a valid driving licence
Yes
No
Do you have database skills?
Yes
No
Do you have any specific needs, e.g., accessibility?
Yes
No
How did you hear about Komuge?
Why are you interested in volunteering for Komuge?
Support
Liaison Support
Support Group Facilitator
Field Support
Organisational Support
Admin Support
Event Support
Fundraising
Other
Speaker
Publicity
Run Public Campaigns
Specific role
If you have already spoken with a KCI staff member and have a specific role in mind, please state the role and staff member’s name above.
In which geographical area do you want to volunteer?
We aim to place volunteers within a 15mile radius of their home address where possible. Please note that certain volunteering roles may not be available in all locations and may require you to attend the Komuge office.
Please indicate the length of time you wish to volunteer.
Please indicate how many hours per week you wish to volunteer
Transportation
Public Transport
Walk
Private Car
Other
How will you get to your assignment
Qualifications - Highest level completed
Please indicate Place of study, Subjects Studied, Qualifications, Grade and Year
Relevant Skills/Previous Experience
Company Name, Address & Type of Business
Please give description of main duties
Reason for leaving/wanting to leave?
Full Name
*
Email
How do you know this person?
Full Name
*
Email
How do you know this person?
If unable to supply references please explain why
Do you have any current or previous convictions?
Yes
No
If yes, please provide details on a separate sheet, in an envelope marked “Private and Confidential” for the attention of the Programs Manager and attach to this form. All information will be treated in the strictest confidence. Some of our volunteers work closely with vulnerable children/adults; therefore, applicants for volunteer roles will need to sign our Child and Youth Safeguarding policy.
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