ONLINE APPLICATION FORM – LEBANON VOLUNTEER PROGRAMME Suitability Basic Info Branch Availability Profile Submit Name Suitability Check This application form will take around 10-15 minutes to complete. Please begin your application by agreeing to the conditions below. Checklist I have read the programme FAQ I am willing to work with people from any kind of background, regardless of age, gender, ethnicity, religion or culture I have never been convicted of a criminal offense in my home country or abroad, and am willing to provide a police background check to prove this I am not and have never been part of an active militant group Please note - you must agree to all four conditions before continuing. Basic info First Name * Last Name * Phone Number * Email Address * Date of Birth * dd-mm-yyyy Skype ID * We will need your Skype ID to conduct an interview. Nationality/ies * Country of Residence * Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Where did you first hear about this programme? * Online search Facebook page/group Social media share Job listing website (e.g. ReliefWeb, GoAbroad, etc.) Word of mouth Other If applicable, please specify the name of the site/platform/Facebook group/etc below. Name of information source Select branch Select Branch Branch A (volunteering only) Branch B (volunteering with Arabic course) Availability Which months are you available? * Feb 2018 Mar 2018 Apr 2018 May 2018 Jun 2018 Jul 2018 Aug 2018 Sep 2018 Oct 2018 Nov 2018 Dec 2018 Please indicate ALL full calendar months during which you would be available to participate in the programme. At the beginning of which month would you prefer to start your placement? * Mar 2018 May 2018 Jul 2018 Sep 2018 Nov 2018 Please select one. Please note that all placements must begin between the 1st-5th of a given month. Profile Education * Please list all completed levels of education and current studies, if any. Experience * Please outline any previous experiences relevant to this programme, which might include the following kinds of experiences: volunteering, teaching/tutoring, working with children in some other capacity (e.g. scout/summer camps, aupairing), working with women (e.g. in other empowerment programmes), etc. Motivation * Please indicate why you are interested in this form of volunteering and what it is that has motivated you to apply to work with us. Submit Before submitting your application, please review the information you have entered. You can look back through the different sections of your form using the navigation buttons below, or the tab menu at the above.