Volunteer Name

First Name

Last Name

Email:

Why are you interested in working with Kusewera in Malawi?

What do you see as your skills and strengths that you can offer both the CHILDREN and adults we work with as well as our TEAM?

Have you been on any humanitarian trips overseas in the past or to a low-income country?

YesNo

If yes, please explain

Multiple choice - Check ALL that apply:

To stay in good general health I typically:

Work out every day and eat well balanced mealsWork out 3-4 times a week and eat fairly wellHope to get in 1 workout a week, and try to watch what I eatI don’t really work out

When I hang out with my friends, I’m typically:

Doing something activeGoing to the moviesTrying new restaurantsAll the aboveI only have a few close friends, and we mostly stay inNone of the above, I cherish alone time

If I ever get overwhelmed or stressed, I usually:

Walk away, I need my own space to de-stressBuck up and handle it until I can have time to take a momentCry, not great with handling stressGet angry and tend to blow a fuseI don’t tend to get too stressed out, I quietly take a breather when I need to

When I’m not sure about a task, I will:

Let others take the reins and only assist when necessaryDo my best to figure it out and take the leadAdmit I’m not so sure, but happy to helpNone of the above, I don’t like doing things I’m not sure of

In group settings, I tend to:

Be the life of the partyModerately engage and enjoy the bondingQuietly enjoy the companyPut my headphones on and chill out to my favorite music

Tell us your thoughts on Kusewera's posted statement which reads: We are a beautifully diverse group of people who promote the practice of love, unity, understanding and inclusion. We encourage everyone to show compassion in their own community, country and in the world. We believe in the acceptance and love for people of all colors, races, religions, genders or backgrounds and believe that everyone in this world is created with equal value. We reject any ideology of hate or discrimination towards any ethnic group, religion/faith or of anyone that might be different or look different than oneself. We acknowledge the negative effects colonialism has caused in Africa, the U.S. and in many parts of the world. We acknowledge the existence of inequities, inequality, oppression, privilege and unconscious bias and aim to be active participants in addressing the very real racial and systemic injustices. We encourage the understanding of diversity, inclusion and culture competency. We are not working in Malawi or anywhere else to fulfill anyone's saviorism. This is about humanity.

Describe what you believe the term “white privilege” to mean and how you perceive it to affect you or those around you:

What do you understand about colonialism and its impact in Africa specifically? What steps (or resources) have you taken or utilized to educate yourself? Are you open and willing to learn (and unlearn) in order to understand the impact and how it affects Africans / Malawians today?

Describe what you understand the black lives matter movement to mean and what the movement aims to accomplish:

Kusewera aims to empower those we work with to be great leaders in their community. We encourage strength and confidence accompanied with compassion, empathy and a heart that reflects humanity and the rights of all people. We do not support bullying, lying or degrading others that only aims to be better than or in charge of others. In your own words, please describe what being a good leader means to you:

I affirm that I do not have any history or record of abuse of others, either physically or emotionally.

IMPORTANT questions to ask yourself:
1) Would I volunteer if there were no cameras allowed?
2) Does my current lifestyle, my social media persona and my attitude reflect the heart that I want it to reflect and the mission and statement of Kusewera?
3) Am I ready to leave behind my world for roughly 2 weeks, to fully embrace the culture, the needs, and the work that Kusewera is doing in these communities?

I understand it is my responsibility to check with my physician concerning immunizations, including anything COVID-19 related:

YesNo

I understand the fundraising and cancellation policies set forth on the Kusewera website:

YesNo

I am committing to the Kusewera Humanitarian Service Trip and training for: and will adhere to the guidelines and policies set forth for both Kusewera and the locations we work alongside.

I verify that the information provided is true and to the best of my knowledge. I understand that misrepresentation of this information will constitute grounds to terminate participation.

Volunteer Signature

Date

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms and policies.

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