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Title *
First name *
Last name *
Date of birth *
Email *
Mobile number *
Address line 1 *
Address line 2
Town/City *
County/State *
Postcode/ZIP *
Country *
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Your profession
Employment status
Are you a student?
What is the name of the university?
What course are you studying?
When did the course start?
Please specify whether you are a member of any university societies or organisations
Have you previously volunteered or worked for a charity or NGO?
Please state the names of charities or NGOs
Have you been on a deployment trip before?
Please provide details of previous trips
Please briefly outline why you would like to go on deployment and what your expectations are
Do you have any convictions that are unspent under the Rehabilitation of Offenders Act 1974?
If yes, please give details including dates of offence(s) and sentence(s)
Do you agree to have a standard DBS (Disclosure and Barring Service) check done?
Do you have any medical conditions which could affect you during deployment? It is important that we are aware of such conditions to ensure we can respond accordingly should the need arise.
If yes, please provide details of your conditions
Have you been referred by a member of staff at Salam Charity?
If yes, please state their full name
How did you hear about Salam Charity and its deployment programme?
Please specify:
You already have applied for this trip, one of our coordinator will get in touch with you shortly.
Your application has been submited, We will get back to you shortly.