APPLICATION FORM

VOLUNTEER EXCHANGE PROGRAMME

EDUCATION AND CULTURE (EU-ASIA)
Email: wyfhq@wyf.org.my Website: www.wyf.org.my

PERSONAL DETAILS
First Name:
Last Name:
Gender: Male Female
IC/ Passport No: Place of Issue:
Date of issue: Date of Expiry:
Date of Birth (Year-Month-Day):
Place of Birth (City, State and Country):
City: State:
Nationality: Country:
Religion: Ethnicity:
Home Address:
Postal Code:
Contact No: H/P: (+ ) Home Phone: (+ )
E-mail Address:
Facebook Address: Twitter:
Skype User Name:
Do you have a medical problem? No
Yes (Please specify):

PARENT/LEGAL GUARDIAN INFORMATION ONE (Father / Legal Guardian)

First Name:
Last Name:
Gender: Male Female IC/ Passport No:
Nationality: Country:
Home Address:
Postal Code:
Contact No: H/P: (+ ) Home Phone: (+ )
Occupation:
E-mail Address:

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PARENT/LEGAL GUARDIAN INFORMATION TWO (Mother / Legal Guardian)

First Name:
Last Name:
Gender: Male Female IC/ Passport No:
Nationality: Country:
Home Address:
Postal Code:
Contact No: H/P: (+) Home Phone: (+)
Occupation:
E-mail Address:

In the event of an emergency, which parent or legal guardian should be

contacted first? (you must select one)
Father Mother

PERSONALITY

Personality Traits: Place a () in front of the following words which best describe you:

Polite Traditional Independent Formal

Sensitive Optimistic Calm Open

Spontaneous Quick- Casual Informal

tempered
Serious Adaptable Emotional Friendly

Responsible Reserved Determined Neat

Shy Active Quiet Patient

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SKILLS

List your main skills and give an example of how you’ve demonstrated each one:

Skill: __________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Skill: __________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Skill: __________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Skill: __________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Other skills:

If you have additional information about your skills, please list:

LANGUAGE COMPETENCE

List the languages you are able to use and indicate your competence level for each
one (1=poor, 5=excellent):

Language Competence Level (1-5) Competence Level (1-5)

Spoken Written

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EDUCATION AND TRAINING

Please list your post-secondary level education and training:

Institutions (s) attended, location (s) and awards (s) received:

No. Institution(s) attended Locations(s) Awards Received

1

Concentrations:

Major concentration(s) of study:

Minor concentration(s) of study:
(Please expand on a separate sheet if necessary)

VOLUNTARY AND NON-VOLUNTARY WORK EXPERIENCE

Please list your voluntary and non-voluntary work experience:

No. Organization Position Duration
1

OVERSEAS EXPERIENCE

Have you ever lived or worked abroad? Please indicate Country, Organization, Activity,
and length of time:
Country:
Organization:
Activity:
Length of time:

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PERSONAL MOVITATION STATEMENT

Why did you decide to become an exchange volunteer with WYF?

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

PAST CONVICTIONS

Have you ever been convicted of a violation of law other than a minor traffic violation?
( ) No
( ) Yes.
If yes, please explain:

ADDITIONAL INFORMATION

If you have any additional information about your work and community service
experiences, please list:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

REFERENCES

Character Reference One:

Name:
Title:
H/P No:
E-Mail Add:
Relationship:
[To be completed by the referee] Please comment on the character of the applicant:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

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Character Reference Two:

Name:
Title:
H/P No:
E-Mail Add:
Relationship:

[To be completed by the referee] Please comment on the character of the applicant:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

EMERGENCY CONTACTS

Please list your emergency contacts below:

Name:
Address:
H/P No:
Home Phone:

Name:
Address:
H/P No:
Home Phone:

LIABILITY

The World Youth Foundation (WYF), and its agents and / or representatives disclaim all
responsibility for medical, accident and travel insurance, for compensation for death or
disability, for loss of, or damage to, personal property, and for any other costs or losses
and all other claims for expenses asserted against any of them which may arise from
injuries to persons or property occasional by the intentional or negligent acts or omissions
of volunteers. Volunteers taking part in any tour / trip will do so at their own risk.
Volunteers are strongly recommended to obtain comprehensive international medical
insurance for the period of their participation.

Upon submission of this form I affirm that all statements herein are true and accurate to
the best of my knowledge and my ability to answer, and I authorize WYF to check my
education, employment and community service background as necessary to complete
the application process.

Signature: Date:

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ATTACHMENTS:

Please include the following materials with your application:

1. Passport Size Photo

2. Copy of Passport
3. Curriculum Vitae/Resume
4. Motivation Letter
5. Endorsement Letter from School / College / University / Organization / NGO /
Ministry / etc.

Please return your complete application to:

World Youth Foundation
P.O Box 584, 75760 Melaka, Malaysia.
Or e-mail to: wyfhq@wyf.org.my

Closing date for application: 1st October 2016

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