Please save completed form using MS Word (.doc) and send to enquiries@vsobahaginan.org.

Indicate/write ‘Volunteer
Application’ in the subject line of your email.
NAME (please write in block letters):
Surname: TATEL
First Name: GERLYN
Middle Name: VILLARALBO
Occupation: NURSE

1. Personal Details
Date of Birth; 01/17/1987 (month/day/year) Male Female
Nationality FILIPINO
Address for
Correspondence
Region
Postcode Work telephone number
Evening telephone number Mobile +639208802993
Email Address Gerlyntatel@yahoo.com Fax
2. Marital Status
Tick the boxes that apply to you Month, day and year
Working as a volunteer makes as many Single
demands on the personal resources of an individual as
Single with a partner since
on their personal skills.
Therefore VSO has to ask some searching questions
about the personal circumstances of applicants in order Living with a partner Since
to
ensure that applicants are ready to go overseas. Engaged Since
Please inform us if there are any changes to your
personal circumstances at any point before departing Married Since
overseas.
Separated Since
Divorced Since
Widowed Since
Permanent Zone 2 SAGRADA, CARANGCANG , MAGARAO CAMARINES SUR
Address
Postcode 4403
Evening telephone number
Email address Gerlyntatel@yahoo.com Fax

3. Education and qualifications

Please tell us about any formal, trade or vocational training or education you have received from high school onwards.
Please do not use abbreviations:
Secondary Education
Month and year graduated, name of school
APRIL 2000, UNIVERSITY OF NUEVA CACERES

College/ University Degree

Month and year graduated, name of school, course
MARCH 2008, UNIVERSITY OF NUEVA CACERES, BACHELOR OF SCIENCE IN NURSING

Further Courses attended:

Month and year, title of training course
AUGUST 2008, ENGLISH PFOFICIENCY PROGRAM

4. Employment Record;
List full employment and work experience history (both national & international). Start with your current or most recent employer & give all dates in months and
years. Please attach further pages if necessary
From Name and address of Job title and full description of main duties and responsibilities
Month and year Employer and type of business
=ASSESS THE PATIENTS USING HOLISTIC APPROACH AND THERAPEUTIC
COMMUNICATION
=ASSESS PATIENT’S VITAL SIGNS
=CONDUCT PREMARITAL COUNSELING AND RESPONSIBLE PARENTHOOD
INCLUDING THE IMPORANCE OF BIRTH SPACING AND FAMILY PLANNING.
=FACILITATE MOTHERS CLASS BY DISCUSSING THE IMPORTANCE OF
MAGARAO RURAL HEALTH
PRENATAL AND POST NATAL CHECK UP,BENEFITS OF BREASTFEEDING
JANUARY 2010 CENTER, SAN ISIDRO
BOTH FOR THE MOTHER AND BABY AND THE IMPORTANCE OF RECEIVING
MAGARAO, CAMARINES SUR
THE COMPLETE IMMUNIZATION.
=CONDUCT HEALTH TEACHING ON HOW TO AVOID DISEASES BY PROPER
HANDWASHING, GOOD HYGIENE.
= ASSISST THE PUBLIC HEALTH NURSE DURING IMMUNIZATION AND
HOME VISIT.

To PRESENT
Month and year

Type of work VOLUNTEER NURSE

From NOVEMBER 2009 Name and address of Job title and full description of main duties and responsibilities
Month and year Employer and type of business NATIONAL HOUSEHOLD TARGETTING SYSTEM FOR POVERTY REDUCTION
DEPARTMENT OF SOCIAL
WELFARE AND
=CONDUCTS COMPREHENSIVE HOUSEHOLD ASSESSMENT AND IDENTIFY
DEVELPOMENT,
THE POCKECTS OF POVERTY IN A GIVEN COMMUNITY.
REGIONAL OFFICE V, LEGAZPI
CITY
To DECEMBER 2009
Month and year

Type of work ENUMERATOR

From JUNE 2009 Name and address of
Month and year Employer and type of business
BICOL MEDICAL CENTER,
DEPARTMENT OF HEALTH
DOLE,PRC
Job title and full description of main duties and responsibilities
PROJECT NARS
=ASSESS THE PATIENT BY HOLISTIC APPROACH AND BY OBSERVING
THERAPEUTIC COMMUNICATION.
=ASSIST THE PHYSICIAN IN DOING SPECIAL PROCEDURES.
=COORDINATE WITH THE DOCTOR AND OTHER MEMBER OF THE HEALTH
CARE TEAM REGARDING PATIENT’S CARE.
=ADMINISTER MEDICATION ACCURATELY PER DOCTORS ORDER.
=PREPARES THE EQUIPMENT AND OTHE MATERIALS ASEPTICALLY DURING
MINOR OPERATION.
=CONDUCT MOTHERS CLASS.
=CONDUCT IMMUNIZATION SUCH AS HEPATITIS B AND BCG TO THE
NEWBORN.
=ACCUARATELY RECORD THE TREATMENT AND OTHER PROCEDURE DONE
WITH THE PATIENT.

To SEPTEMBER 2009
Month and year

Type of work STAFF NURSE

From APRIL 2009 Name and address of
Month and year Employer and type of business
MAGARAO MUNICIPAL HEATH
CENTER
DEPARTMENT OF HEALTH
DOLE,PRC
Job title and full description of main duties and responsibilities
=COORDINATES WITH THE PHYSICIAN AND OTHER HEALTH CARE TEAM IN
TREATMENT PLAN OF THE PATIENTS.
=CONDUCT PREMARITAL COUNSELING AND RESPONSIBLE PARENTHOOD
INCLUDING THE IMPORANCE OF BIRTH SPACING AND FAMILY PLANNING.
=FACILITATE MOTHERS CLASS BY DISCUSSING THE IMPORTANCE OF
PRENATAL AND POST NATAL CHECK UP,BENEFITS OF BREASTFEEDING
BOTH FOR THE MOTHER AND BABY AND THE IMPORTANCE OF RECEIVING
THE COMPLETE IMMUNIZATION.
= ASSISST THE PUBLIC HEALTH NURSE DURING IMMUNIZATION AND
HOME VISIT.
=CONDUCT HEALTH TEACHING ON HOW TO AVOID DISEASES BY PROPER
 HANDWASHING, GOOD HYGIENE AND PROPER FOOD HANDLING.

To JULY 2009
Month and year

Type of work STAFF NURSE

From Name and address of Job title and full description of main duties and responsibilities
Month and year Employer and type of business
=ASSESS THE CONDITION OF THE PATIENTS
=ASSESS VITAL SIGN CAREFULLY.
=ASISST THE DOCTOR IN DOING SPECIAL PROCEDURES.
=PREPARES THE EQUIPMENT AND MATERIALS USE IN MINOR OPERATION
ASEPTICALLY.
=ADMINISTER MEDICATION ( ORAL, PARENTERAL) OBSERVING THE 10
ST. JOHN HOSPITAL INC., RIGHTS OF GIVING MEDICATION.
OCTOBER 2008 PANGANIBAN DRIVE NAGA =TRANSCRIBE DOCTORS ORDER CAREFULLY.
CITY =DO SOME SPCIAL PROCEDURE PER DOCTORS ORDER SUCH AS FEEDING
THROUGH NGT AND PEG, INSERTION OF INDWELLING CATHETER.
=ACCURATELY OBSERVE THE PROGRESS OF THE PATIENTS IN THE NURSES
NOTES.
=CAREFULLY RECORD THE TREATMENT AND OTHER PROCEDURES DONE
WITH PATIENT IN THE PATIENT’S CHART.

To
Month and year
JANUARY 2009
Type of work VOLUNTEER NURSE

From Name and address of Job title and full description of main duties and responsibilities
Month and year Employer and type of business

To
Month and year

Type of work
If your employer or professional association is involved in a VSO partnership, please indicate which from the list below:
WMSU (Western Mindanao State University) PMA (Philippine Medical Association)
PNA (Philippine Nurses’ Association) PPA (Philippine Psychiatrists Association)
None (standard Recruitment)
5. Practical and additional skills
Skills related to people/project management and social/community work are not listed below.
If you have these skills please outline them on a separate sheet showing how/when you have used them.
If you have any of the skills itemized below please write A, B or C as appropriate in the box.
Skill level for each area If you are competent to train others Write A
If you have good practical ability Write B
If you simply have basic ability Write C
General skills Agriculture: Livestock Forestry Health
Office administration Beef cattle Nursery work Epidemiology and research C
Book Keeping Sheep/goats Survey/inventory Reproductive health B
Training and facilitation Dairy cattle Agro-forestry Primary health care B
Fundraising Poultry Planting and tree care Health education and promotion A
Full Driving license Bee keeping Logging/ saw milling Hospital and clinic administration C
Full Motorcycle license Other (please specify) Planning and management Preventive and promotive health A
Silviculture and
Proposal Writing
provenance trials
Community forestry
Agriculture: Crops Environmental Conservation Chemical pathology Medical laboratory technicians
Cereals Biological data collection Blood sugar B Parasitology
Environmental impact
Commercial Vegetables LFTS Malaria Diagnosis
assessment
Garden Vegetables Environmental education Filiariasis
Top/soft fruit Land-use planning Community Development
Organizational
Break/root/grass/fodder crops Microbiology
Development
Community organizing
Crop trial/research Fisheries Leprosy/tuberculosis (ZN) B
and management
Strategic planning and
Food Technology Capture fisheries HVS examination
development
Policy development and
Fish farming Serology
advice
Project management
Education Marine biology (planning, monitoring and Urine examinations
evaluation)
Pond planning and
Curriculum development Basic culture technologies
construction
School management Breeding and hatchery Gram stain/interpretation
Fish processing CSF microscopy
Freshwater fisheries
Marine fisheries Haematology
Boat handling and netting Blood films
Haemoglobin estimations
Cross match techniques
Differntials/classification of an
anaemias
Cells counts/ platelets
ESR, PCV

Are you prepared to teach or train if your placement requires it? Yes No

Teaching skills Teaching training skills

Please specify levels, ages and subject taught Please give details of any experience (formal/informal)

Other skills
Please specify any other skills such as people/management skills

6. Other Relevant Experience

e.g. published work, voluntary work
VOLUNTEER IN BLOOD LETTING ACTIVITY CONDUCTED BY BICOL MEDICAL CENTER
VOLUNTEER NURSE IN MUNICIPAL HEALTH CENTER
VOULUNTEER NURSE IN SOME MEDICAL MISSION
7. Interests

8. Disability
VSO welcomes applications from disabled people. If you are disabled, please tick the box.

We will contact you to discuss any support you may need if invited to an Assessment Day.
9. Availability
How much notice does your current employer need?
Successful applications normally take between 4- 8 months to get from the stage of fitting in the application form to going overseas. We do not interview
people more than a year before they are available to go overseas.
What is the earliest date you would be available to go overseas? (mm/dd/yy)
The majority of placements are for two years. Are you prepared to commit yourself for this period/ Yes No
If not, how long are your prepared to go ?
Have you ever applied to volunteer through VSO before? Yes No
If so, in which year did you apply?
What was the outcome?
If you went overseas with VSO, please indicate
country and dates (mm/dd/yy)

10. Financial and personal commitments

You need to think very carefully about the financial implications of working overseas for two years.
Volunteers are paid a modest living allowance in the currency of the country in which they work.
This is enough to live on in that country, but it is not enough to cover any other financial commitments.
Do you have any financial commitments?
Yes No
(For example life insurance, a mortgage, maintenance, loans or student loans)
If so, how much are you committed to paying month?
How will you meet these commitments if you become a volunteer?

Criminal convictions can have a bearing on your eligibility to obtain a visa to work overseas,
Have you been convicted of a criminal offense in the last 5 years? Yes No
Do you have any criminal proceedings pending? Yes No
If you have answered yes, please give details below.

Please note that the Rehabilitation Act of 1974 (Exceptions) Order 1975 (as amended) states that you do not generally have to disclose details of spent convictions.
11. Family commitments/ dependents
Do you have children under 18 years? Yes No
Are they living with you or dependent on you? Yes No
Is anyone else dependent on you for care or support? Yes No
If you have dependents, what arrangements will you make for them while you are overseas?
No. of children Their ages

13. References
Referees must not be related to you.
Shortlisted applicants will be sent the reference forms for the completion of the references indicated below.
Personal reference
Someone who has known you well in a social capacity for at least two years.
Name De Anna C. Regnim
Address PACOL ,NAGA CITY
Postcode
Home telephone number 09066314319 Work telephone number
Fax number Occupation Teacher
Email address
How do they know you?
Professional Reference
Someone who can comment on your professional skills: e.g. a tutor, a recent employer, or client if self-employed.
Name Elizabeth Valiente
Address
Postcode
Work telephone
Home telephone number
number
Fax number Occupation NURSE
Email address
How do they know you?

14. Your Health

You will be required to have a full medical examination before you are finally accepted as a volunteer, but please answer these questions here.
If you answered YES to any the following questions please give brief details in the space provided, including the dates, treatment, outcome and follow-up. You
must complete this section. Failure to provide the information required below may lead to a delay in processing your application at a later date.
Have you ever had any major illness, operation or accident? Yes No

Give details

Have you ever suffered from any psychiatric or psychological problem? Yes No

Give details

Are you taking any type of medication? Yes No

Give details

If you are willing or have been referred for hospital treatment or an operation please do not apply until fully fit.
The VSO health clearance unit may need to contact your doctor for more information.
Please note that your signature below will entitle us to do so, if you wish to discuss any details in confidence,
please contact the health clearance unit directly, either in writing or by telephone.
Doctor’s Name
Address
Please ensure that the
named doctor holds your Postcode
medical records.
Telephone Number

15. Health Declaration

We cannot proceed with your application unless you have signed this health declaration.
Please see notes on the Access to Medical Reports Act 1988 on the sheet attached to the back cover.
I give my permission for VSO Health Clearance Unit to contact my doctor for a medical report.
I understand my right under the Access to Medical Reports Act 1988 and have read the summary of my principal rights attached to this form.

Signature Date

16. Brief details in support of your application

Do not attach extra pages.
Why do you want to work overseas as a volunteer?

MY PRIMARY REASON OF WORKING AS VOLUNTEER IS MY WILLINGNESS TO HELP OTHER PEOPLE PARTICULARLY THE LESS
FORTUNATE AND DEPRESSED COMMUNITY BY UTILIZING AND SHARING MY KNOWLEDGE AS A NURSE. I WANT TO SHARE MY GOD
GIVEN SKILLS BY EMPOWERING PEOPLE IN TERMS OF THEIR HEALTH, TEACHING THE M THE SIMPLE WAYS TO AVOID DISEASES, BASIC
FIRST AID AND OTHERS.
I WANT ALSO TO MEET OTHER PEOPLE, DISCOVER THEIR OWN CULTURE AND LEARN TO ADOPT TO THEIR LIFESTLYE WHILE IM
WORKING IN THEIR PLACE.I WANT TO HELP THEM REALIZED SPECAILLY THE CHILDREN THE IMPORANCE OF GOOD HYGIENE IN
RELATION TO THEIR HEALTH.I BELIEVE THAT WORKING AS VOLUNTEER WILL ASLO DEVELOP MY INTERPERSONAL SKILLS ,ENHANCE
MY SELF STEEM AND SELF WORTH.ABOVE ALL I WANT TO GIVE BACK THE BLESSINGS THAT GOD HAD GIVEN ME THROUGH HELPING
OTHER PEOPLE.

Give details of any voluntary activities.

I AM A VOLUNTEER PHLEBOTOMIST DURING THE BLOOD LETTING ACTIVITIES CONDUCTED BY BICOL MEDICAL CENTER SATFF.
I ALSO SCREEN THE BLOOD DONOR AND DO BLOOD TYPING.
TOGETHER WITH THE TEAM WE CONDUCT SEMINARS ABOUT THE BENEFITS OF DONATONG BLOOD REGULARLY.

If you are selected, VSO will endeavor to send you to the most appropriate placement.
Are there any countries that you are not prepared to work, or is there any type of work you would not want to do? Please explain why?

17. Recruitment initiatives

The following will help us assess how successful our various recruitment activities have been.
Where did you hear about VSO? (Please check all that apply.)

Advertisement (please specify name of newspaper or magazine)

Article (please specify name of newspaper or magazine)
Internet / Online:
VSO Bahaginan Website Other VSO international websites Through email newsletter Through Jobstreet.com
Other site (please specify)
Events:
Meet VSO Event (please specify location)
Exhibit or conference (please specify)
Other VSO events
Poster (please specify location)
Radio feature or interview (please specify)
TV documentary or feature (please specify)
VSO films Through a VSO volunteer/ returned volunteer Through a VSO staff
Through a friend/organization (please specify)
Other (please specify)

Have you considered trying to obtain leave of absence from your employer for the duration of your Yes No
placement overseas?

18. Declaration
I declare that to the best of my knowledge the information I have given is correct.
I also accept that VSO will only proceed with my application subject to police and health checks.
I understand that it is VSO policy to check Police and department of Health records for volunteers who will be working with vulnerable people.
(VSO does not require information from the police about offences not related to the abuse of vulnerable people.)
I declare that I have never been convicted of a sexual offence, or dismissed from a post working with children, the elderly or disabled for malpractice. I am willing
to undergo a Police and department of Health record check if required.
VSO occasionally supplies information to other reputable organizations and may keep you informed about products and services that may be of interest to you.
Please tick the box if you do not want your data to be used in this way.
“If you complete this form, VSO will store and process your data in accordance with the requirements of its Data Protection Policy, its Privacy Policy and in
keeping with the UK Data Protection Act 1998 (“the Act”).

By submitting this form you agree to the processing of your data by VSO in accordance with the Act, its Data Protection Policy and the Privacy Policy, both
available on its website at www.vso.org.uk. You agree that VSO may transfer such data as is necessary to any country where you may be placed, including
countries where data protection laws may not apply or may be less stringent than in the European Union. We will need to pass your information to your host
organization, but will ensure that the VSO overseas entities continue to handle your personal information in accordance with our group wide policy on the
protection and security of your data. Details of these transfers can be provided at your request.”

Signature Date
FOR RECRUITMENT OFFICE USE