Volunteer Application Form
Title

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Full Name (*)

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Passport No./Identity Card

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Date of Birth (*)

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Age

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Address (*)

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Email (*)

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Gender (*)

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Contact(Home)

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Contact(Mobile)

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Profession

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Company/Institution/School

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Qualification/Course

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Commitment Period

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Why do you want to be a volunteer? (You may choose more than one)

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Others (Please Specify)

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Languages (*)

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Others (Please Specify)

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Do you have any special skills or interest that you want to share with us? (You may choose more than one)

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Others (Please Specify)

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Please indicate where you have been informed about Malteser Albania. Have you received information from a MA member ?

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Do you have a Facebook/ Twitter/ Skype/ LinkedIn/ Tumblr

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If Yes, please elaborate

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Are you required by court order to serve volunteer hours? (*)

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If Yes, please elaborate

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Have you ever been convicted of a criminal offence resulting in a prison sentence ?

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If Yes, please elaborate

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Are you currently employed?

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If Yes, please elaborate

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I certify that the statements made in this volunteer application are true and correct. I understand that I will not be paid for my services as this is strictly volunteer work. I hereby indemnify and hold blameless, Malteser Shqiperi from any claims of any nature and from any liability for any mishaps arising from any cause whatsoever out of events related to or occurring during my volunteer service. I understand that his consent is valid for the duration of my volunteer assignment. I understand that if I falsify any information or omit any material facts, termination of volunteer assignment may result. I also agree to abide by the requirements set by Malteser Shqiperi and any other related guidelines.


fields marked with a (*) are mandatory

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