CHEEERS: Developing Healthcare TogetherProfessional Healthcare Volunteer Recruitment March 2024

Please complete the application below for the CHEEERS: DHT programme.

Please note that due to significant competition for places on the CHEEERS: DHT 2024 programme your responses to this application form will be considered in the selection process.

All of the information you enter will be stored securely in a password protected cloud-based platform only accessible by our Chairperson and Recruitment Manager. The relevant information for your interview/selection will be shared with only your interview panel in advance and no other third parties will receive this information.

Thank you in advance for your interest in CHEEERS: DHT (RCN: 20153335).

Best of luck with your application.

CHEEERS: DHT Team

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* 1. Your details

First name (as on passport):

Second name (as on passport):

Gender:

Date of birth:

Nationality:

Home address:

Mobile number:

Main email address:

Employment status:

Occupation/profession and level (e.g. senior/basic grade)

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* 2. Academic and professional qualifications

Educational qualifications:

Subject areas:

Year of graduation:

CORU registration or professional registration number/details:

Registered with a professional body? If so, what body:

Do you have any additional qualifications (e.g. first aid, TEFL, relevant courses etc)?

Please enter your professional experience (include years of experience, areas worked, team working and any other achievements you may have had):

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* 3. Have you volunteered or worked in a developing country previously before?

Please state 'yes' or 'no':

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* 4. Which programme did you volunteer with and can you give a brief outline of the work carried out?

Programme/organisation:

Year participated:

Brief outline of work carried out:

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* 5. Have you ever volunteered in Ireland or within your local community?

Please state 'yes' or 'no':

Brief outline of work carried out:

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* 6. Have you travelled to a developing country before?

Please state 'yes' or 'no':

Details:

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* 7. What do you think makes a good professional volunteer? Please give examples of particular qualities you admire in others (max 150 words).

Answer:

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* 8. What strengths do you believe you can contribute to a CHEEERS: DHT multidisciplinary professional group undertaking voluntary programmes abroad?

Answer:

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* 9. What are your main hobbies, skills, areas of interest (max 100 words)?

Answer:

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* 10. It is important to be aware of your reasons for volunteering as a professional healthcare volunteer with CHEEERS: DHT. Please list the top 3 reasons motivating you to become involved with CHEEERS: DHT.

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* 11. What impact do you expect to have on your host community (max 100 words)?

Answer:

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* 12. What do you hope to learn from your host community (max 100 words)?

Answer:

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* 13. Mandatory training is an essential part of the CHEEERS: DHT programme. Past volunteers have stressed the need for us to ensure that all team members complete the training as it benefits the projects, our partner and your team when working in Uganda. Can you please confirm that you have reviewed the CHEEERS: DHT mandatory training dates by ticking that you can attend on the following dates (If you cannot attend for any reason please highlight this at interview):

Sat 9th Dec 2023 (Full day)

Sat 27th Jan 2024 (Full day)

Sat 24th Feb 2024 (0.5 day)

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* 14. Would you be interested in a leadership role with CHEEERS: DHT? If "YES" please tell us why you would be a good a good team leader for CHEEERS: DHT to recruit (max 150 words)

Please Note: Team Leaders are responsible for directing the overall project with a particular focus on the logistics of the trip and coordinating projects across multiple disciplines. Prior experiences of working in developing countries or of leadership positions in healthcare settings are strongly desirable.

Please state "yes" or "no"

Details:

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* 15. If you answered Yes to Q14; Please tell us what your last 3 leadership roles were

Role 1:

Role 2:

Role 3:

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* 16. When you return from working with CHEEERS: DHT you will be a member of our returned volunteer and the Irish returned volunteer network and maybe expected to participate in some future awareness raising and fundraising work. Would you be in a position to make this commitment?

Please state 'yes' or 'no':

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* 17. How did you hear about CHEEERS: Developing Healthcare Together?

Please let us know where you heard about CHEEERS:

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* 18. Please state any medical conditions including physical limitations, allergies or any other condition concerning your general health which may impact your ability to participate in this programme (all information is private and confidential).

Answer:

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* 19. Do you have any special dietary requirements?

Outline here or state 'no'

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* 20. Details of next-of-kin (in case of emergency)

Name:

Relationship (e.g. mother)

Mobile:

Work or landline:

Home address:

Email:

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* 21. Details of referee 1

Name:

Address:

Profession/position:

Email:

Phone:

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* 22. Details of referee 2

Name:

Address:

Profession/position:

Email:

Phone:

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* 23. I give consent that my referees may be contacted for further information.

Please state 'yes' if you are happy for your referees to be contacted:

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* 24. I certify that the information provided within this application is to the best of my knowledge correct.

Please state 'yes' if you are happy that the information you provided is to the best of your knowledge correct: