Application form for Co-workers / Volunteers

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First name

Surname

Date of Birth

Male/Female

Nationality

Married/Dependents

What time can you make a commitment for? (Most communities will give preference to people who can commit themselves for a year)

When can you start?

Telephone Number

Fax Number

E-Mail

Address

Next of Kin / Address

A brief description of your life - Who are You?

Previous Education and Training (where relevant)

What kind of work have you done before?

Why are you interested in working with people with special needs?

How did you hear about Camphill?

Have you any previous experience of working with people with special needs?

Do you have any specific interests, hobbies, skills or qualifications? Do you play a musical instrument or have an interest in a craft?

Any questions you wish to ask?

We will need three references of people who know you who are not relatives or friends and their full names and address. For example: a teacher, a previous employer, a member of the Church, etc. Please give a named person and not just the name of an organisation or company.

1. Referee Name(Title/Relationship) / Address / Tel / email

2. Referee Name(Title/Relationship) / Address / Tel / email

3. Referee Name(Title/Relationship) / Address / Tel / email

I am also applying to the following communities (maximum of three):
If you receive an offer from several communities in reply to your application, please make sure you inform all communities about your decision. Each community is counting on you once you are confirming a placement. Don't confirm several placements!

Ballybay	Ballymoney	Ballytobin
Bridge Community	Callan	Carrick-on-Suir
Dingle	Duffcarrig	Dunshane
Grangebeg	Grangemockler	Greenacres
Jerpoint	KCAT	Kyle
Mountshannon	The Journeyman	Thomastown

When the community contacts you offering you a vacancy you will be asked to send a proper application in writing by snailmail and supply the following: Curriculum Vitae; police report; medical certificate; passport picture.

Each Community is required to make a policecheck or ask for a policereport in your country (only originals will be accepted)

Your application will be dealt with in full confidence. As we receive many applications it might take some time for the community to respond.