Individual Volunteer Participation Agreement Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Instructions: This form provides Divine Hearts Foundation with essential information for evaluation purposes. It is intended to be completed on a computer and returned as an attachment by email. Please type responses in bold. If married, each partner should complete a separate form. THIS INFORMATION WILL REMAIN CONFIDENTIAL A. PERSONAL AND FAMILY INFORMATION Full Name *Email Address *Phone Number *Mailing Address *Nationality *Date of Birth *Marital StatusMarital StatusSingleDatingEngagedMarriedSeparatedWidowedDivorcedRemarriedSpouse's name if you are marriedHow many of your children will accompany you to Uganda?Next of Kin's NameRelationshipEmail Address (Next of Kin)Phone Number (Next of Kin)Passport No.Expiry DatePlace of IssuePlease provide the following information about your Church/Organization Church you currently attendFellowship/DenominationAddressCountrySenior Pastor’s NameSenior Pastor’s PhoneNumber of years you have attendedB. FINANCES Are you able to provide your own return air ticket to Uganda? Do you have necessary funds to support yourself while you are in Uganda (at least $1200 US per month)?C. MINISTRY/WORK/VOLUNTEER EXPERIENCE Is English your first language?List other languages you speak, indicating the level of proficiency you have with each.Have you visited Uganda in the past?If yes, in what capacity?List all experiences in short term missions that you have had.List other experiences you have had in missionsDescribe the kind of volunteer activity in which you are interestedBriefly comment on the major differences you anticipate experiencing in Uganda and how you would relate to these differencesIn a situation where certain aspects of your personal lifestyle may detract from the image expected by Ugandan Christians, other Ugandans and/or your peers in Divine Hearts Foundation, are you prepared to adjust your lifestyle to conform? Please commentIf approved, when and for how long will you be available for ministry/voluntary work with Divine Hearts Foundation?E. REFERENCES Please list names of references that we can contact regarding your suitability for cross cultural ministry/works. Do not use relatives as references. Include one of each of the following; pastor, church board member or ministry supervisor, work supervisor or professor, work colleague and one other. (*E-mail is the fastest and easiest way for us to conduct a reference. Please provide and double check the e-mail addresses for each of your references.) Name of PastorEmail AddressPhone NumberRecommender Recommender's NameRelationship to the RecommenderEmail Address (Recommender)Phone Number (Recommender)F. ADDITIONAL INFORMATION Is there anything specific that has not been asked that you feel is important for us to know about you? If yes, please explainG. VERIFICATION AND SIGNATURE Please ensure that all of the following documents are submitted immediately: Divine Hearts Foundation Standard Volunteer Application Recent photograph (as a jpeg) A signed Divine Hearts Foundation participation agreement Verification Statement *I agree that all information in this application, in the biographical sketch and in the resume is accurate and truthfulSignature * Clear Signature Date *Submit
