Camp Abilities 2019 Volunteer Application Form Step 1 of 4 25% Contact DetailsName First Last Address * Required Street Address Address Line 2 City State / Province / Region Eircode Gender * RequiredDate of birth * RequiredDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Telephone number * RequiredMobile number * RequiredEmail * Required Second Level EducationSchool NameStudied fromDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Studied toDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Third Level Qualifications(HETAC/NCEA, Professional or University Accredited etc.) Third Level InstitutionsClick the + icon to add more institutions you have attended. (maximum 3) Name of institutionAddressStudied (From – To) Qualificatons attainedClick the + icon to add more qualifications you have attained from the above institutions. (maximum 3) TitleGradeAwarded byMonth/Year Final year subjectsClick the + icon to add more subjects you did for your final years in the above institutions. (maximum 5) Subject name EmploymentPlease outline any employment you have engaged with in a part-time or full-time basis. Click the + icon below to add more organisations. OrganisationsNameAddressPosition HeldDate from/to Reference 1 Details * RequiredPlease note referees may not be friends/family/relatives and need to be external to Cara or Camp Abilities Staff. Preferably ones that you would have engaged with in the last 12 months. NameOrganisationAddressPositionPhoneEmailReference 2 Details * RequiredPlease note referees may not be friends/family/relatives and need to be external to Cara or Camp Abilities Staff. Preferably ones that you would have engaged with in the last 12 months. NameOrganisationAddressPositionPhoneEmailOther Relevant Experience * RequiredPlease outline your qualifications and experience relevant to volunteering at Camp Abilities IrelandHave you volunteered/worked in other camps/residential programmes: * RequiredYesNoPlease state what years and positions held * RequiredHow did you hear of Camp Abilities? Final ChecklistsPhoto * Required File uploadPlease upload a friendly photo of you that we may show a camper and their family prior to attending camp.Garda Vetting Letter of Identification * Required File uploadPlease upload a Garda Vetting Letter of Identification. This must be signed and stamped at Garda Station.E-Vetting Inviter Form NVB1 * Required File uploadCompleted Vetting Application Form (E-Vetting Inviter Form NVB1)Identification * Required File uploadPlease upload a form of identity (photocopied and stamped for verification) Second form of Identification * Required File uploadPlease upload a second forms of identity (photocopied and stamped for verification) Have you ever had any licence, certificate or employment suspended, endorsed, revoked or terminated? * RequiredYesNoPlease provide details on the above * RequiredAre you at present, or have you in the past, been the subject of any investigation or has any action ever been taken against you with regards to a child/children under 18 years of age, or any other investigation, criminal or otherwise, whether or not resulting in acquittal or exoneration? * RequiredYesNoPlease provide details on the above * RequiredAre there any restrictions on you being able to work in Ireland, as far as you know? * RequiredYesNoPlease provide details on the above * RequiredHave you completed a Child Awareness & Protection Course or Child Protection in Sport Workshop ? * RequiredYesNoAll volunteers will need to complete this before attending camp. Please source a course in your local area now soon or contact us and we may be able to direct you to one. You can still proceed with the application Please upload copy of the above certificate here File uploadI confirm that I am available to volunteer for all six days of Camp Abilities * RequiredYesNoPlease state what dates you are available * Required* Please note that the selection of volunteers will in part be based on their availability to attend the full 6 days.I confirm that I am available to attend training as required: On-site training day on Sunday 14th of April 2019. * RequiredYes I am available on this dateI certify that the information contained in this application is correct and I give my consent to Cara to contact my referees in support of my application. * RequiredYes I certify thisI understand that my application will be stored for a duration of 3 years to allow me to continue to volunteer with Camp Abilities and Cara for that period. I also understand that my personal information will be used for the sole purposes of volunteering at Camp Abilities for Cara, stored in compliance with the Data Protection Act and will not be shared with any third party. * RequiredYes I understand and I consent to you collecting my data aboveI am happy to be contacted about other potential volunteering opportunities with Cara in the future.Yes pleasePhoneThis field is for validation purposes and should be left unchanged.