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Education. Culture.

Community Development
AFRICA PROJECT, INC •
Attach
P.O.BOX 386, CHAPEL HILL, NC 27514
Photo of
Phone: 919-439-0480 • Fax: 919-439-3607
Self
INTERN/ APPLICATION FORM
Proposed Program Departure Date____________
Please word process, type or print clearly.
Name Social Sec.#/ID#
Current Address City
Zip/Post
State/Province Code Country
Evening
Day Phone Phone Fax
Email
Permanent
Address City
Zip/Post
State/Province Code Country
Evening
Day Phone Phone Fax
Occupation Employer
Marital Status Birth date Citizenship
Emergency Contacts (name, relation, full address and phone)
1.

For which country program(s) are you applying? Please rank your choices (First=1, Last=8)
UGANDA (__ LIBERIA
KENYA (_____ Weeks) TANZANIA (____ Weeks
Weeks) (_____Weeks)
GHANA SWAZILAND S.AFRICA
ZAMBIA (______ Weeks)
(_____Weeks) (___Weeks) (____Weeks)
Please write number of weeks and circle your location preference.

For which positions are you applying? Please rank your choices (First=1, Last=8)
___Program Assistant ___Technology Assistant ___Health Professional
___Internship ___Youth Group Coordinator ___Researcher
___Community Development Worker ___Volunteer __Other

Please rank the sectors that interest you. Please rank your choices (First=1, Last=20)
___Agriculture ___Food/Nutrition ___Natural Sciences
___Appropriate Technology ___Family Planning ___Refugees/Relief
___Children (Ages 1-12) ___Health ___Small Business
___Communications ___Housing ___Social Sciences
___Democratization ___Human Rights/Law ___Women
___Education ___Mentally Disabled ___Children and Youth
___Environment/Conservation ___Physically Disabled ___Other__________________
Africa Project, Inc. Volunteer Application Page 2

Language Skills
Languages Years spoken or studied Proficiency (Excellent—Intermediate—Poor)

Education (post secondary-school)


School Location Major/Degree Date of Graduation

Work Experience
Position/Responsibilities Firm/Organization Location Dates

Volunteer and Community Service Experience

International Work, Study, and Travel


Purpose Location Dates

Other Skills and Talents (Artistic, musical, athletic, literary, technical, trade)

Awards and Accomplishments


Africa Project, Inc. Volunteer Application Page 3

VOLUNTEER PLACEMENT PREFERENCES


Do you prefer office or field emphasis?
 All Office  Mostly Office/Some Field  Half Field/Half Office
 All Field  Mostly Field/Some Office No preference
Would you prefer to work in a rural or an urban setting?
 Strongly prefer urban  Would like urban placement, but rural is fine  No preference

 Strongly prefer rural  Would like rural placement, but urban is fine

How much supervision would you prefer?


 Much—I would like to learn about development by working closely with a mentor.
 Some—I need some guidance, but I prefer to work independently once I am shown direction.
 Little—I prefer to work independently.

Do you have any religious preference? You may leave blank any that you would not accept.
 A Christian missionary organization  An Islamic development organization

 A national Christian organization  An Islamic publication

 A Christian publication  A Jewish development organization

 A Christian organization doing secular work  A Jewish publication

 I do not want any religious organization  I have no preference toward religion

Specific faith or denomination preferred (optional):


Would you prefer to work for an expatriate or an indigenous organization?
 I definitely want an indigenous organization.  I prefer an expatriate organization.

 I prefer an indigenous organization.  I definitely want an expatriate organization.

Would you prefer to work in a small or large organization?


 I definitely want a small organization.  I prefer a large organization.  No preference
 I definitely want a large organization.  I prefer a small organization.

Journalism/Media - placement preferences. (First choice=1) Leave blank any of no interest.


___Newspaper reporter ___Magazine reporter ___Nonprofit newsletter editor
___Newspaper sub-editor ___Magazine sub-editor ___Publisher’s assistant
___Video asst. producer ___Radio asst. producer ___TV asst. producer
___Photographer ___Book Publishing ____No Preference
Do you have any other preferences regarding your placement?
Please feel free to be as explicit as you like, using extra paper if necessary.

Which are your housing preferences?


 I would like my own room in an Africa Project, Inc housing program

 I would like to share a room in an Africa Project, Inc housing program


 I will find my own housing. This will be my own responsibility. I understand that by choosing
this option, I may significantly increase my costs.
I am a  Smoker  Non-smoker
Other housing preferences:
Africa Project, Inc. Volunteer Application Page 4
Please list names and addresses of two individuals who would enjoy receiving our
information.
1. 2.

How did you learn of Africa Project, Inc?


NAMES OF REFERENCES
Please ask two people who are thoroughly familiar with you for academic or work-related
recommendations. These are the only recommendations that will be accepted by Africa Project,
Inc. Your recommendations should preferably be typed on letterhead. At least one of the letters
must comment on your foreign language ability if you are applying to a country where the working
language is other than your first language.

Name Position Organization/Company


Complete Address and Telephone Number
1.

2.

BEFORE YOU MAIL IN YOUR APPLICATION…


Please take the time to fill in this checklist to ensure that your application is complete.

I have included:
 This signed, completed application
 A non-refundable application fee of US$50.00
 My résumé in English or translated into English
 Two (2) passport size photographs
 A photocopy of the page in my passport which includes my photo
 Two letters of recommendation
 Essays

I hereby affirm that all of the information supplied herein is true and correct.

Signature (please
initial if submitting by Date
e-mail)

Please return to: Africa Project, Inc.


P.O.BOX 386
Chapel Hill, NC 27514
Telephone: 919-439-0480
E-mail: volunteers@africaproject.net
Africa Project, Inc. Volunteer Application Page 5

Essay Questions

Please answer all of the following questions on separate paper. Answers must be typed.
Questions 1-7 require answers of a few sentences and 8 requires an answer of 500 words.

1. Why are you applying to become an Africa Project, Inc. Volunteer?

2. What do you think will be the most difficult thing about living and working in a poor city or
rural African village?

3. How will you raise the funds necessary to become a volunteer? What community
fundraising activities have you planned, if any? Africa Project, Inc., does not provide
funding for internship or volunteer opportunities.

4. On what grounds did you select the position(s) and sector(s) to which you are applying, as
you specified on page one of the application? Explain how your previous skills and
experiences will enhance your volunteer work. If you do not have experience in your chosen
field, explain how your participation will benefit the organization and the community that
you will be serving.

5. What does the term “Development” and “Charitable” assistance mean to you personally?
How do you imagine someone from the developing world would define the same terms?

6. Using your country of first choice as an example, what do you think is the greatest problem
with development practices in this country today, and how can this problem be overcome?

7. What will you do to advance the Africa Project, Inc. programs in general?

8. Please write an essay (about 500 words) commenting on one of the following topics, drawing
from your personal experience where applicable: Ethnocentrism, Racism, Sexism, Economic
Inequality, Human Rights, Poverty, War, and Diseases.
Africa Project, Inc. Volunteer Application Page 6

LETTER OF RECOMMENDATION

Name of applicant____________________________Country of interest_______________

Name of reference____________________________________________________

Occupation____________________________Employer________________________________

Length and nature of relationship with applicant_____________________________

To the Recommender: The applicant has applied for a volunteer position in a developing
country with Africa Project, Inc.. The applicant, if accepted, will be placed with a nonprofit or
community-based organization in Africa. On a separate sheet of paper, preferably letterhead,
please comment on the applicant's ability to successfully carry out such a internship/volunteer
assignment, and based on your prior experience evaluate the applicant in the following areas:

1) Teamwork 3) Cross-cultural adjustment

2) Leadership qualities and initiative 4) Other

Please return your recommendation to the applicant in a sealed envelope, signed and dated to:

Africa Project, Inc.


P.O.BOX 386
Chapel Hill, NC 27514
Telephone: 919-439-0480
Fax: (919) 439-3607
E-mail: volunteers@africaproject.net

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