APPLICATION FORM FOR A EUROPEAN

VOLUNTARY SERVICE
Thanks for filling this application form carefully and sending it back to:
jaunatne@baldone.lv
You may attach anything else that helps introducing yourself (CV, Motivation letter,
video).

1. GENERAL INFORMATION
Family Name:
First name:
Address:
Postal Code:
City:
Country:
Phone:
E-mail:
Skype:
Emergency contact (name and phone number):
Nationality:
Gender:
Birthdate:
Birthplace:
Do you have a driving licence?
Yes
No
When can you begin your EVS?
Are you available for 12 months ?
Yes
No

2. SENDING ORGANISATION
Sending organisation:
EI reference:
PIC Code:
Full contact:
Contact person name :
Adress :
Phone :
Email :

3. EDUCATION AND EXPERIENCES

Current situation:
Student
Unemployed
Worker
Other

Education and training:

General skills:
Professional experiences:
Voluntary experiences:
Other experiences:
Other activities (Hobbies, sports, music ):
Do you have any fears or great phobia?
Do you have any medical diet or important thing that you want to
explain regarding your health?
What is your mother tongue ?
Level, Knowledge of language:
Language
English

None

Basic level

Intermediate

High-level

Fluent

4. THE EUROPEAN VOLUNTARY SERVICE PROJECT:

Why do you wish to take part in the project? What do you think you can
bring to the project?
Did you ever live in a shared house? What do you think of living in a
shared house?
During your EVS, what are the problems or difficulties you could
expect?
What do you want to do after the EVS ?
Do you think this experience will help you for your future?

Remarks / Remarques :