GLOBAL QUILT & PREVENTION PROJECT
SOUTH AFRICAN VOLUNTEER APPLICATION 2006


Pre Tour Deadlines:
Feb. - June 1: Application submissions
March 15:      Applicant's tentative commitment to tour
June 1 - 15:   Notification of acceptance
June 15:        Wire deposit to secure accomodations


In order for us to get to know you better, and to review your experience in the HIV/AIDS field, please fill out the questionnaire as completely as possible. Take as much room as you need to answer the questions. ALL INFORMATION WILL BE CONSIDERED CONFIDENTIAL.

CONTACT INFORMATION

Your Name (First/Last):

Address:

City/State/Zip:

Country:

Phone (Please include area code):

Day (Work):

Evening (Home) :

Email:



I. TOUR DETAILS

Which portions of the tour are you wanting to participate?
 Week #1, Sept. 4-8, 2006 (School week)
Week #2, Sept. 11-15, 2006 (Panelmaking workshops)



II: EXPERIENCE/OUTREACH QUESTIONS

1) Do you have experience of working with youth?
Yes
No

What has that experience been:
2) What age group have you worked with:
3) Any higher education degrees:
Yes
No
If so, please list:
4) Any special HIV/AIDS prevention training:
Yes
No
If so, please list:
5) Have you ever traveled with a group before?
Yes
No
If so, how was that experience.:
6) Have you ever traveled to Africa before?
Yes
No

If so, what country(s)
7) Do you have experience in working with a curriculum and/or lesson plan?
Yes
No
What has that experience been:
8) Have you ever worked with other cultures other than your own?
Yes
No
If so, please write a little about that experience:
9) Have you ever facilitated trainings?
Yes
No
If so, describe what you did:

 

III: GROUP SKILLS

1) Have you worked in a group or team project?
Yes
No

What has that experience been:
2) How would you approach resolving a problem with a fellow member on a tour?
3) If you recognize that you were the individual who caused a problem, how would you address the situation to resolve it?

 

IV: ACCOMMODATIONS
(Please note, many countries require a non-refundable
deposit approx. 3 to 4 months before arrival)

1) Would you prefer:
sharing 2 bedroom/1 bath with another US volunteer
private room (w/private bath)

2) Smoking room:
Yes
No
3) Would you be willing to share a room with another volunteer?
Yes
No
4) Are there any medical needs that the tour director should know about? If so, please indicate. This is considered confidential information and only the tour director will know.

 

V: OTHER QUESTIONS

1) Do you have the resources for funding the trip?
Yes
No

Explain your fundraising plan:
2) Do you have a organization, school, or place of worship you would like to "sister" with one of the schools or churches you will visit?
Yes
No
If so, please explain:

 

VI: AGREEMENT

If my application is accepted, I will conduct myself in a professional manner while on tour with Global Quilt.  I will work as a team player and respect the tour director and members of the team.  I understand any unacceptable behavior can cause my dismissal from participating in the tour.

By placing my initials in this box, I signify I have read and understand this agreement:



We look forward to reviewing your application and getting back to you as soon as possible. Please note that this entire project is run by volunteers. Please be as specific as you can to better evaluate your skills.