ECO-VOLUNTEER APPLICATION FORM

 On the Job Trainee  Practicum  Volunteer

Personal Information
Name: (Surname, First Name, Middle Name) Nickname: Position/Designation:

Address: Tel. No.: Mobile Phone:

Date of Birth: Place of Birth Email:

Sex: Height: Weight: Nationality: Civil Status:

Father’s Name: Occupation:

Mother’s Name: Occupation:

Address: Tel. No.:

Contact person in case of emergency:

Educational Background
Level Schools Attended Inclusive Dates Degree Earned Awards, Honors
Post Graduate

College

High School

Primary

Previous Volunteer Experience

Institution/Organization Inclusive Dates Tasks/Activities

Affiliations
Organizations/Clubs State whether Position Inclusive Dates
Religious, Socia-Civic,
Politica, etc.

File Code: Confidential 1

 ECO-VOLUNTEER APPLICATION FORM

Medical History
Please specify if you suffer from any medical Medication
condition or allergies

Skills/Relevant Experience that you may Contribute to Haribon as Volunteer

Skills/Relevant Experience (e.g. Clerical skills, Diving skills, etc.) Rate Level of Expertise (1-5 with
5 as the highest)

Tasks/Activities that you want to do

Tasks/Activities

Target Volunteer Schedule

Target Volunteer Date/s

References
Please provide names of two people Address Email Contact
who are not related to you Numbers

After filling out the form, please scan and email to volunteer@haribon.org.ph. Or, you can fax this form
at 434-4696, attention: Membership Department.

File Code: Confidential 2

 ECO-VOLUNTEER APPLICATION FORM

Certification

I hereby certify that all information stated in this information sheet are true to the best of my knowledge.
I also consent to have my background checked with the references I provided.

During my volunteer work, I understand that I may be working with materials and documents that is not
public knowledge. I will ensure the confidentiality of these materials and documents.

Lastly, I commit to abide by Haribon Foundation's protocols and policies at all times during the period of
my volunteer work.

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Signature over printed name Date

Parent's Consent (if volunteer is below 18 years of age):

I allow my child to volunteer for Haribon Foundation and will not hold the organization responsible for
any accident or injuries that may happen during the period of volunteer work.

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Parent's Signature over printed Date

File Code: Confidential 3