Application

Volunteer/Internship Application

Please complete and submit the form below. All fields must be completed in order for your profile to be processed. If a field does not apply to you please type NA in the field.

Personal Information

First Name

Last Name

male female

Address

City

State

Zip Code

Home Phone

Cellular Phone

Current Occupational Status & Institutional Affiliation

Other Related Teaching Experience

Have you ever had a professional license revoked/suspended?

Yes No

if yes, please explain

Education

Undergraduate: (Institution, Degree, Date, Area of Study)

Graduate: (Institution, Degree, Date, Area of Study)

Additional Education: (Institution, Degree, Date, Area of Study)

Internship / Residency: (if applicable)

Professional Affiliations

References

All fields in this section must be completed to initiate volunteer placement. One of the references must be character (ideally from your priest, pastor, or your youth director - if you are a student). We encourage you to include the e-mail addresses of your references if possible. Also, please notify your references so they are aware that they might be contacted by a representative of UCE.

1) Name (first, middle, last)

Title/Institution Address City State Zip Code Office Phone Cellular Phone Email

2) Name (first, middle, last) Title/Institution Address City State Zip Code Office Phone Cellular Phone Email

3) Name (first, middle, last) Title/Institution Address City State Zip Code Office Phone Cellular Phone Email

title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> title="" /> 14pt;">Experience

Please list all prior international experience followed by all prior experience in the field of abstinence education.

1) Country

Date

Description

2) Country

Date

Description

3) Country

Date

Description

Availability

The amount of time I can volunteer would be:

Other

Date preferred

Alternate dates

Location

First Choice

Second Choice

Third Choice

Family Companions

I wish to be accompanied by:

Spouse

Children Enter names, ages, and gender below

Other Enter name, age, and gender below

I am traveling alone

Would your spouse be interested in serving in a volunteer capacity?

Yes No

If yes, in what capacity?

If volunteering, your spouse will be expected to join UCE and complete a Volunteer Application.

Emergency Contact

Please list name of person to be notified in case of an emergency.

Name (first, middle, last)

Office Phone

Home Phone

Cell/Pager

Address

E-Mail

City

State

Zip Code

Other

How did you hear about Universal Chastity Education?

Completion of this form is the first step in the volunteer placement process and does not guarantee an assignment. Depending on the specific requirements of each site, you may be asked to submit additional documentation in order to continue the placement process.

Volunteering with UCE

Indicate why you are interested in volunteering with UCE.

Statement of Faith

UCE Board of Directors subscribes to the fundamentals of the Christian faith as outlined in the Nicene Creed, subject to the ultimate rule and standard of the Holy Scriptures of the Old and New Testaments. Confirm that you subscribe to the above statement of faith and describe your religious affiliation.

During term of service, UCE volunteers/interns will demonstrate the highest standards of professional and personal conduct, including abstinence until faithful marriage. Sensitivity to cultural and social beliefs and practices of the host country should guide professional and personal behavior. Typing your name, dating and submitting is equal to signing this document.

Making the decision to support UCE's mission is an important one. The first way to support UCE's mission is by becoming a member of UCE where your contribution will support the development of new programs, the recruitment of volunteers and fund the transport of educational materials and team members to sites.

Are you currently a member of Universal Chastity Education?

Yes No

Signature

Date

This form will be considered valid for three years from the date submitted.