ICS Application Form

This application form is for applications to be an ICS Team Leader and Volunteer.
Incomplete application form and also only CV or Resume will count as
unsuccessful application.

Once you have completed this form, please save as an attachment and email to
info.bangladesh@vsoint.org

Or you can post this form back to People and Operations Department, VSO
Bangladesh, House 382 (1st and 5th Floor), Road 28, New DOHS, Mohakhali,
Dhaka-1206.
***ITS A VOLUNTEERING ROLE NOT EMPLOYMENT***

Section 1: Eligibility
Which ICS opportunity would you like to apply for? Choose from the
following:

ICS Volunteer (age 18-25) (Yes/No) Write:

ICS Team Leader (age 23-35)
Write:
(Yes/No)

Title (Miss/Mr/Ms/Doc/Prof.) Write:

Full Name Write:
Surname Write:
Email address Write:
Confirm email address Write:
Mobile number (Applicant) Write:
Mobile number (Legal Guardian) Write:
Landline number (If any) Write:
Date of birth (DD/MM/YYYY) Write:
Nationality Write:
Smart card/NID/Birth certificate
Write:
number
Father Name Write:
Mother Name Write:
Gender (Male/Female/Trans/Other) Write:
Marital Status (Yes/No) Write:
Children Status (Yes/No) Write:
Mailing Address Write:
Permanent Address Write:

Section 2: Availability

1.1Are you willing and able to be

away from home and living in a
remote and poor community for
a maximum of 3 to 4 months
(September 09, 2017, to
December 22, 2017, for Team
Leader and September 23,
2017, to December 14, 2017,
for Youth Volunteer)?
1.2As an ICS Volunteer, you should
know that the program will run Write:
for 3 to 4 months within
Bangladesh but must be outside
your community. The Placement
Duration is (September 09,
2017, to December 22, 2017,
for Team Leader and
September 23, 2017, to
December 14, 2017, for Youth
Volunteer)?
Section 3: Academic Qualification

What are you doing now?

Studying full-time
Studying part-time
Working full-time
Working part-time
Volunteering
Training
Unemployed Write:
Year out/gap year
Apprenticeship
Study on a government training
program
Retired
Other

Latest Academic Information

Name of
Write:
University/College/Institution
Name of degree Write:
Name of subject Write:
Major specialization Write:
Current status (Running Write:
student/Internship
student/Studentship completed)
Certificate obtained (Yes/No) Write:
Convocation completed (Yes/No) Write:

Section 4: Motivation

ICS is your chance to make a difference and we need volunteers to

be flexible and adaptable. You will need to be prepared to volunteer
anywhere in Dinajpur (Parbatipur & Birampur), Bagerhat (Mongla)
and Khulna (Batiaghata) of Bangladesh. Where possible we will use
your answers to the questions below to help match you to a
program but please be aware that you will need to be flexible: we
cant guarantee that we will be able to match you to your area of
preference.

Why do you want to volunteer for the ICS program?

Personal growth (Yes/No) Write:

Meet new people (Yes/No) Write:
Interest in other cultures (Yes/No) Write:
Travel (Yes/No) Write:
Practice my language skills (Yes/No) Write:
Interest in international
Write:
development (Yes/No)
Gain new skills/experience (Yes/No) Write:
Want to contribute something to a
Write:
community (Yes/No)
Desire to understand more about
Write:
poverty (Yes/No)
Other (Specify) Write:

Why you Want to Volunteer?

(Please note, this questions has a character limit of 900 characters)

Answer:

Section 5: Personal Information

We are committed to ensuring that ICS is a diverse and inclusive

program. The following questions will enable us to ensure
appropriate support is provided to you, you may be contacted for
further information when necessary. The answer of this question will
not affect your eligibility for the program and are not used in the
selection process.

If you have a disability or medical condition that requires support,

please give details (maximum 255 characters)

Answer:

Section 6: ICS Team Leader

ICS Team Leaders should have experience of leadership and
excellent people skills. Please provide clear examples in as much
detail as possible that demonstrate how youve supported others in
a group setting. This will help us assess whether you might be
suitable for a Team Leader role.

What experience do you have of supporting or leading groups of people?

(Please note, this questions has a character limit of 900 characters)

Answer:

Describe any other skills you have that are relevant to the role of a team
leader?
(Please note, this questions has a character limit of 900 characters)

Answer:

Section 7: Reference
As a part of the selection process, we need to email & contact two
referees, which we ask you to nominate below. The first referee,
where possible, should be someone who knows you in a professional
capacity i.e. Tutor / Teacher / Co-Worker / Religious or Community
Group Leader / Manager, Volunteer Supervisor or Youth NGO or any
other NGO Leader. The second should be someone who has known
you well for at least two years but with a traceable address.

Referee-01 Referee-02
Name: Write: Name: Write:
Designation: Write: Designation: Write:
Organization: Write: Organization: Write:
Mobile: Write: Mobile: Write:
Email Email
Write: Write:
(Mandatory): (Mandatory):
Relationship with Relationship with
Write: Write:
you: you:

Section 8: Submit Application with the Following

Declaration
By completing this form, I agree that VSO and YDO through the International
Citizen Service Programme (ICS) will store and process my data in
accordance with the requirements of their own data protection policies and
their confidential policies. I agree that agencies may transfer my data as is
necessary to any country where I may be placed. They may pass my
information to the relevant partner organizations in Bangladesh and in-
country staf but will ensure that their counterparts overseas continue to
handle my personal information in accordance with their confidential and
data protection policies. Details of transfers can be provided to me at my
request. They will hold any information I give them in order to contact me
about my volunteering options. That they would also like to keep me
informed about the range of ways I can become involved with the
International Citizen Service (ICS).

Name: Write
Signatur (Insert your digital/written Date
Write
e: signature) :