client screening form€¦ · web viewtitle: client screening form author: eka&d last...
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Founded by: Worldview Mission, Capelle aan den IJssel, The
Welcome to Worldview Mission (WM) Int
Background About the founder: Ms. Hélène H. Oord Daily Activities Description
She is the president and founder of Worldview Mission (WM). Int which she founded in
the year 2007 with her sister Ms. Oord C. C. the Co-founder who assisted from 2007 to
2010 in U.S.A.
Trainer; concerned about the general welfare, growth and development of the youth.
She provides training via skype and on a one on one basis equipping the youth with
entrepreneurial skills to help them start their own businesses and earn a living.
Counselor and advisor to the youth.
Interviewer; interviewing ambassadors on the plights their countries are facing and
connecting them to each other so that they can devise solutions to overcome the
challenges.
Website improvement; developing ideas daily on how to improve the website
She has a major network of NGO’s that deal with the youth, she helps to empower the
youth with them looking up to her for guidance and direction. Hosting interns at the
headquarter, the Netherlands, while they are interning on projects towards the MDGS
and Post 2015 Dev. Agenda.
Ms. HÉLÈNE, with Worldview Mission int. Board of Directors, have a lot of international
networks and the ability to network with many youth NGO’s throughout the world
Through the Worldview Mission Int. Headquarter, The Netherlands, she is reachable
daily on the Skype platform engagement with the UN officers on MDG’s and POST 2015
Agenda projects.
Worldview Mission (WM) Int. We are a non-profit society whose mission is creating economy opportunity for people all
around the world. We are contracted to the United Nations in programme towards the MDGs and Post Development Agenda. .
In contact with UN-NGO´s, UN Agencies & UN Ambassadors since 2007.
W O R L D V I E W M I S S I O N ( W M )M E M B E R I N T A K E
Last Name
First Names Inititials
Firm name Birth Date (year/month/day) Position Firm
Street Address and Box Number Postal Code Location
Phone Number(s): Mobile: Is it OK to have your BIO and photo?
Yes No
Your Skype name: Your position/membership in WM Ms. Hélène H. OordFounder/CEO Worldview Mission
Marital Status Employment Status Education0 Single, never married0 Married
0 Full time0 Full seasonal
0 Elementary or some high school0 Graduated high school
0 Common law/long term relationship0 Separated0 Divorced
0 Part time0 Part seasonal0 Unemployed
0 Some college, vocational, technical or trade0 Undergraduate degree
0 Retired 0 Graduate study or degree0 Student0 Entrepreneur0 Not in labour force due to disability
Are you able to travel? Are you connected to a certain country? Do you have a portfolio?
Yes No Yes No Yes No
Please circle the reason you are here: Your own substance use Someone else’s substance use
If you are here because of someone else’s substance use, circle your relationship with that person:
Partner Parent Child Other relative Friend Co worker Employer Other
Who referred you to WORLDVIEW MISSION ? Self Ms. Hélène H. Oord MR./ Ms. Other (specify)
What are your specific expectations/goals for being a member in WORLDVIEW MISSION ?
Particulars:
______________________________________________ ________________________Member Signature Location & Date
Last reveised: March 14/08//2013