GAiN - Application form

Application

Personal data

First name(s), as in passport*

Last name(s), as in passport*

Sex*

Marital status*

Name of partner (if applicable)

Number of children ≤ 18 years old*

Street name, house number*

Postal code, city*

Country of residence*

Phone number (landline)

Mobile number*

Email address*

Date of birth*

City of birth*

Country of birth*

Citizenship*

Current occupation

Current Position*

Responsibilities and activities*

Name of Institution*

Address of Institution*

Experience

... in industrialised countries*

... in developing countries*

... in disaster settings*

... team experience (2 examples)*

Roles in DART

For a brief explanation of each role hover with your mouse over the word.
For a detailed explanation of the roles in DART click here.

Leadership*

Accounting*

Aid Distribution*

Communication*

Spiritual Guidance*

WASH Coordination*

Logistics Coordination*

Construction Coordination*

Medical Proficiency/First Aid*

Health Coordination*

Staff Care*

IT*

Equipment*

Time Availability

Maximum amount of time available for a mission*

Total amount of time available in one year*

I am usually available*

I am ready to go on about ... mission(s) per year*

Reasons which could prevent me from going on a mission*

Religious Affiliation

I would describe myself as*

If "other", please specify

I belong to this church community*

I have this function in my church*

With my name at the end of this document, I commit that I will respect the faith of others.