VOLUNTEER APPLICATION FORM FOR RED CROSS YOUTH MEMBERS AND ADVISERS

Date of Application: Full Name:

Birthday: Age: Language Spoken atMIDDLE

FIRST NAME Home: NAME LAST NAME

Gender: Civil Status: Highest Educational Qualification Achieved:

Complete Address:

Home phone number: Mobile Number:

Email address: Preferred method
of communication:
Current occupation / study: (Please tick a box and state the details)
Details:  Work  Study  Full time  Part time

Details:  Work  Study  Full time  Part time

Current Institution or
organization where affiliated:
Emergency Contact Person’s Name:
Relationship to you:
Phone 1: Phone 2:

Referees. Please provide the name and contact details of at least two referees or guardians:
Name:  Male  Female
Mobile phone number: Email Address:
Relationship to you:
Name:  Male  Female
Mobile phone number: Email Address:
Relationship to you:
Name:  Male  Female
Mobile phone number: Email Address:
Relationship to you:

Experience and qualifications. Please provide details of experience relevant to this role
 Training or education in teaching or youth  Experience working is disaster areas and austere
and volunteer development environment
 Experience teaching or tutoring out of school  Experience working with young people
children and youth  Experience working with people with disability
 Experience teaching or tutoring school
students
 Experience teaching in special education
Please elaborate on these experiences in the space below:

Languages spoken: Other voluntary work:

Hobbies / Interests:

What motivates you to be a Red Cross Volunteer?

Please indicate your availabilities in the space below.

Privacy statement:
The personal information on this form is being collected for the purposes of recruiting and selecting volunteers wishing to work with Philippine
Red Cross’ Youth Program.  The information may also be required for planning, monitoring, and evaluation purposes.  Any report developed will
not identify individual volunteers by name. Volunteer data will be stored and managed in PRC’s volunteer database which may be shared to the
organization’s Disaster Operation Center for purposes of emergency volunteer mobilizations. No data will be shared without permission from
authorized personnel or consent from the owner of the personal data.
In the same manner, the volunteer shall endeavour to observe the organization’s data privacy policy consistent with Republic Act 10173 or the
Data Privacy Act of 2012.

 Please tick if you would like to receive regular notification on Red Cross Youth events and initiatives.
Consent for Minors
By signing this form, I consent for __________________________________, a minor, to join the Red Cross Youth and participate in the activities of
the Philippine Red Cross involving children. I understand that the organization is guided by a child protection policy which I also need to observe
and promote for the welfare and wellbeing of children.
Signature:
Name: Date:
By signing this form, I attest that the information supplied is true and accurate.
I understand that submitting this application form does not automatically register me as volunteer and that necessary volunteer and child
protection policy orientation and Red Cross Youth Council Management Course need to be completed.
I recognize that I have the duty and commitment to the safety and wellbeing of all children and young people accessing Red Cross Services through
me. I commit to support the rights of the child and will act without hesitation to ensure a child-safe environment is maintained always.
I am aware that I may be called upon to serve within my capabilities and competencies in the event of disasters and emergencies.
I understand and expect that the Philippine Red Cross (PRC), its staff and employees will exercise the due diligence and prudence required for my
safety and well-being in the entire duration, place, date, and time of my volunteer work. This diligence would include oral or written instructions,
whether given before or during the activity, that if followed, would ensure my safety.
I agree to serve on a voluntary basis, without remuneration, and perform in consistent excellence of my conduct, performance, and achievements,
as I aspire to be a worthy representative of the organization. I will endeavour to bring timely, effective, and compassionate assistance to the most
vulnerable without consideration of nationality, race, religion, gender, social status, or political affiliation.
Signature:
Name: Date:
Child Protection Code of Conduct
The Child Protection Code of Conduct applies to anyone who works with children in connection with the activities and programs of PRC including
but not limited to: Board members, staff and volunteers of PRC; Partners and contractors providing services to or working with PRC; any parties
participating in PRC events and activities. It defines standards of behaviour expected by PRC in order to protect children.
I agree that while working with or in activities funded by PRC I will:
 treat children with respect regardless of race, colour, sex, language, religion, political or other opinion, national, ethnic or social origin,
property, disability, birth or other status.
 not use language or behaviour towards children that is inappropriate, harassing, abusive, sexually provocative, demeaning or culturally
inappropriate.
 not engage children in any form of sexual activity or acts, including paying for sexual services or acts;
 wherever possible, ensure that another adult is present when working in the proximity of children;
 not invite unaccompanied children into my home, unless they are at immediate risk of injury or in physical danger;
 not sleep close to unsupervised children unless absolutely necessary, in which case I must obtain my supervisor’s permission, and ensure that
another adult is present if possible;
 use any computers, mobile phones, or video and digital cameras appropriately, and never to exploit or harass children or to access child
exploitation material through any medium;
 not use any form of punishment on children;
 not hire children for domestic or other labour which is inappropriate given their age or developmental stage, which interferes with their time
available for education and recreational activities, or which places them at significant risk of injury;
 comply with all relevant local legislation, including labour laws in relation to child labour;
 immediately report concerns or allegations of child abuse and exploitation in accordance with PRC Child Protection Policy; and
 immediately disclose all charges, convictions and outcomes of an offence, which occurred before or occurs during my association with PRC that
relate to child exploitation and abuse.
Use of children’s images for work related purposes
When photographing or filming a child or using children’s images for work related purposes, I must:
 assess and endeavour to comply with local traditions or restrictions for reproducing personal images before photographing or filming a child;
 obtain informed consent from the child and a parent or guardian of the child before photographing or filming a child. As part of this I must
explain how the photograph or film will be used;
 ensure photographs, films, videos and DVDs present children in a dignified and respectful manner and not in a vulnerable or submissive
manner. Children should be adequately clothed and not in poses that could be seen as sexually suggestive;
 ensure images are honest representations of the context and the facts; and
 ensure the file labels, meta data or text descriptions do not reveal identifying information about a child when sending images electronically or
publishing images in any form.
I understand that the onus is on me, as a person associated with PRC to use common sense and avoid actions or behaviours that could be
construed as child exploitation and abuse, and I have read and understood the PRC Child Protection Code of Conduct and the PRC Guidelines and
Policies and expressly conform thereto.
Name: Signature:
Date: