APPLICATION FOR EU AID VOLUNTEER

Nameofthe Project

EUAID Volunteers ACTing against disaster risks (EUAVACT).

Vacancy Title

Send together with CV and Self-Assessment form before closing date to euav@icco.nl

STRICTLY CONFIDENTIALTHE INFORMATION CONTAINED IN THIS APPLICATION FORM WILL BE USED SOLELY FOR THE PURPOSE OF THE SELECTION OF EU AID VOLUNTEERS FOR EUAID Volunteers ACTing against disaster risks (EUAVACT).

General conditions

Candidates must satisfy the requirements set out in Regulation (EU) No 375/2014 of the European Parliament and of the Council of 3 April 2014 establishing the European Voluntary Humanitarian Aid Corps ("EU Aid Volunteers initiative")1, which include having a minimum age of 18 years old and being a citizen of EU or a third country national who is a long-term resident in an EU Member State.

ICCO applies a policy of equal opportunities and accepts applications without distinction on the grounds of sex, race, colour, ethnic or social origin, genetic features, language, religion or belief, political or any other opinion, membership of a national minority, property, birth, disability, age or sexual orientation

Personal details

Surname Dr/Mr/Mrs/Miss/Ms/Other

Forename(s)

Address

Postcode

1 OJ L 122, 24.4.2014, p. 1

Home Tel no Business Tel

no

Mobile Tel

no

Other Tel no

Meeting EU AID VOLUNTEERS criteria

The candidate for EU Aid Volunteers must have a minimum age of 18 years2

Date of

Birth

The candidate for EU Aid Volunteers must be a citizen of EU or a third country national who is a long-term resident in an EU Member State)

Nationality

Country of Residence

Do you have a long-term residence permit3? Yes ☐ No4 ☐(non-EU citizens only)

If Yes, please provide details (number, date of issuance, validity, competent authority)

Relevant experience

Skills relevant to the position Please give a brief summary of your educational and occupational history, and explain how you meet

the required skills detailed in the vacancy notice.

2 If the applicant`s age is under 18 years, he/she is non-eligible. 3 a "long-term resident" means a third-country national who has been granted with long-term resident status by an EU Member State in accordance with Articles 4, 5 and 7 of Council Directive 2003/109/EC of 25 November 2003 concerning the status of third-country nationals who are long-term residents4 If this chosen, the applicant is non-eligible.

Motivation What is your motivation for applying for this position?

Do you have the relevant skills and experience for the professional profile sought for the advertised position?

Junior Yes ☐ No ☐Senior Yes ☐ No ☐

(Please draw from past employment and/or voluntary activities and/or scientific papers you have had published relevant to the vacancy.) Indicate the number of years you have been involved in the duties mentioned and relevant job or volunteer role titles.

Descriptions to indicate where the candidate meets selection criteria and minimum requirements to serve as exclusion criteria, if applicable (such as level of competences, motivation and other relevant criteria such as experience, language skills, medical aptitude to travel and work in developing countries, availability);

QualificationsList the qualifications you have taken or are about to take (eg. Matsec, ‘O’, ‘Int’, ‘A’ Level, GCE, Degree, Masters Degree, PhD, or other).

Type of qualification

Subject Result/date

Type of qualification

Subject Result/date

Language skills

Mother tongue(s) Replace with mother tongue(s)

Other language(s) UNDERSTANDING SPEAKING WRITING

Listening Reading Spoken interaction Spoken production

[Replace with language] Enter level Enter level Enter level Enter level Enter levelReplace with name of language certificate. Enter level if known.

[Replace with language] Enter level Enter level Enter level Enter level Enter levelReplace with name of language certificate. Enter level if known.

Levels: A1/A2: Basic user - B1/B2: Independent user - C1/C2 Proficient userCommon European Framework of Reference for Languages

Past employment details excluding your present or last employment. You can include here paid employment as well as volunteering activities.

Employer’s name & address

Job title Date Salary Reasons for leaving

From To

Present or last employer/volunteer role detailsCompany name and address

Postcode

Position held

Dates from To

Outline present duties

Training coursesDetail below any specialised training you have received or any relevant short courses attended.

Availability

DeclarationI confirm that the information contained in this application form is correct.

I am aware of and consent to the collection and the process of my personal data for the examination of my application for EU Aid Volunteer for EUAID Volunteers ACTing against disaster risks (EUAVACT).

I am aware that the relevant national authorities will be informed about my deployment.

Signature

Date