First Name
Last Name
Date of Birth
Address Line 1
Address Line 2
City
County
Post Code
Telephone
Email
Mobile
Emergency Contacts
Contact 1
Name
Relationship to you
Telephone
Email
Contact 2
Name
Relationship to you
Telephone
Email
Details of any medical problem we may need to be aware of
Details of any dietary requirments
Number of trips made to Romania
Number of trips made to Bulgaria
Number of trips made to India
Total number of pre and post meetings attended.
Please give details of all trips you have made with CAST, including trip dates and year.
Further Comments (including stating order of preference of dates given below and indicating whether you wish to participate in more than on trip if relevant)
NB. Some dates may alter slightly depending upon flights availbale. The traffic light system should help you choose a suitable project: Green projects are ideal for less experienced volunteers Orange projects are slightly more challenging Red projects are suitable for experienced volunteers ready for a challenge Section A OLTANIA, Romania: Work wth abandoned children with disabilities, support of Roma children, help children affected by HIV/AIDS, and work in a large orphanage for adults.  Intensive interaction and behavioural and/or Emotional Management Training available. 15th February - 22nd February 2009 6th April - 17th April 2009 1st July - 11th July 2009 11th July - 22nd July 2009 22nd July - 1st August 2009 1st August - 12th August 2009 12th August - 22nd August 2009 1st September - 12th September 2009 11th October - 22nd October 2009 -------------------------------------------------------------------------------------------------------------------------- Section B Bacau, Romania: Working with FSC (a Non-Government organization), to support disadvantaged children in the community. These trips will involve working with a mixture of disadvantaged children, including those with disabilities, homeless and in rural areas. 1st - 12th July 2009 - Rural 15th - 26th July 2009 - Rural 29th July - 9th August 2009 - Rural 15th - 23rd August 2009 - City -------------------------------------------------------------------------------------------------------------------------- Section C Bucharest, Romania: Supporting single mothers and their babies in a transition home. 25th July - 15th August 2009 15th August - 5th September 2009 -------------------------------------------------------------------------------------------------------------------------- Section D Varna, Bulgaria: Work in a specialist treatment centre for children with special needs and surrounding orphanages. Applicants should be prepared to offer training to the staff and work as an independent carer. 20th June - 27th June 2009 27th June - 4th July 2009 -------------------------------------------------------------------------------------------------------------------------- Section E SOFIA, Bulgaria: Youth camp for disadvantaged children with international volunteers 1st August - 15th August 2009 -------------------------------------------------------------------------------------------------------------------------- Section F SOFIA, Bulgaria: Work with the Bulagaria's Abandoned Children's Trust in orphanages with children with disabilities These trips run for 3-4 weeks every month from April 2009 -------------------------------------------------------------------------------------------------------------------------- Section G MINSK, Belarus: Work with children with learning and physical disabilities in care centres using Intensive Interaction 25th July - 15th August 2009 15th August - 5th September 2009 -------------------------------------------------------------------------------------------------------------------------- Section H Hyderabad, India: Work with babies, children with special needs using Intensive Interaction, and teaching English in a slum for 100,000 people. (Developmental monitoring and II training provided). 4th July 2009 - 25th July 2009 25th July - 15th August 2009 15th August - 5th September 2009 -------------------------------------------------------------------------------------------------------------------------- Section I GOA, India: Work in a Mother Theresa Home and support children affected HIV/AIDS in a family outreach programme. Volunteers supported by 2 British Aid Workers and a Goan team. 25th July - 15th August 2009 15th August - 5th September 2009 -------------------------------------------------------------------------------------------------------------------------- Section J UGANDA, Africa: Work with children and adults affected by learning and physical disabilities. Many children have been affected by HIV/AIDS. 10th July - 31st July 2009 31st July - 28th August 2009
I confirm that all information in this form is correct according to my knowledge and I am willing to raise at least £150 for CAST Projects CAST requires a £35.00 deposit from volunteers applying to volunteer on projects. Please send a cheque made payable to Life Improvement For Everyone (L.I.F.E.) for £35.00 in the post following the online submission of your application with DEPOSIT, TRIP DATES AND LOCATION and YOUR NAME on the back. If you are successful in acquiring a place on a CAST trip, your deposit will be banked in order to secure your place until the remainder of your project costs are paid. If you decide at a later date that you do not wish to undertake your volunteer project with CAST, we will not be able to refund your deposit at this later stage. If you are struggling to find the deposit, please contact Victoria Eyre on 07501463706 at your earliest convenience before submitting your application form. I agree I disagree

 

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