FOR OFFICE USE

Volunteer Ref # _________ Date ________

Volunteer Application Form

Thank you for your interest in volunteering with UKSHK Volunteering
Volunteers play a vital role in the communities across the network of schools in China. All volunteer
applications are reviewed with consideration of current volunteer opportunities. The information you
provide will be stored in confidence under the provisions of the Data Protection Act. Your completed
form will be held securely and confidentially. Only authorized staff will have access to your
information.

Personal Details
Name: __________________________________________

Mr.

Ms.

Mrs.

Miss

Permanent Address:
____________________________________________________________________

Nationality: __________________________

Sex:

Female

Male

Telephone:
(United Kingdom) _________________________

(Hong Kong) _________________________

E-Mail: __________________________________________
Birth-date: _______________________________________
Day / Month / Year
If you are involved with us as a volunteer and an emergency arises, whom should we contact?
Name: _____________________________________ Relationship: _________________________
Telephone: (Home) _________________________

(Mobile) ________________________

Education
Name/Location

Degree

Major

High School
College/University
List any applicable special skills, training or proficiencies

Language Proficiency

Mandarin
Listening and Speaking

10

Lo
w

High
(Native)

Cantonese
Listening and Speaking

10

Lo
w

High
(Native)

Reading and Writing Chinese *

Lo
w

10
High
(Native)

English

IELTS or equivalent
Listening
Speaking
Writing
Reading

Equal Opportunities
Educate Together is committed to equal opportunities and all volunteer recruitment decisions will be
based on merit, suitability for the role and experience. All volunteer recruitment decisions will not be
influenced by race, colour, nationality, religion, sex, marital status, family status, sexual orientation,
disability, age or membership of the Traveller Community. UKSHK Volunteering fully endorses a
working environment free from discrimination and harassment.
UKSHK Volunteering is committed to standards of excellence in Child Protection practices. In the
meantime, please complete the question below.
Have you ever been convicted of an offence in Hong Kong or elsewhere?

Yes

No

If you ticked yes, please provide details below

Your Skills and Interests

1. Have you ever done any voluntary work before?
Yes
No
If you answered yes, please tell us a little about the experience.

2. Write a short statement to describe the reason you wish to go to serve in China as a teacher.

3. Do you have any particular skills or qualities that you could use in your voluntary teaching work?

4. Is there any additional information you would like to bring to our attention?

Medical Conditions
Do you have or have you ever had any physical/mental/emotional difficulties?
Yes

No

If yes, please list any medical conditions (asthma, diabetes, epilepsy, etc.):
_________________________________________________________________________________
List any allergies or allergic reactions to medications
_________________________________________________________________________________
List any medications is presently taking:
_________________________________________________________________________________
Other pertinent medical information:

I declare that the information I have provided is true. All my actions as a volunteer will reflect the ethos
of UKSHK Volunteering and I agree that being Child Centered will be central to my role.
Signed __________________________________________

For office use only

Date __________________________

Notes

Volunteer Interview _____________________________

Volunteer Group ______________________________