ACT - Volunteering in Afrika: Anmeldeformular

Anmeldeformular

Personal Details

Name:*

Address:

Date of Birth:

Nationality:

E-Mail:*

Telephone No.:

Home:

Mobile:

Fax.No.:

Passport Number:

Date of Issue:

Place of Issue:

Expiry Date:

Occupation / Work experience/ qualification:

Do you need any medical treatment or do you have any special diatary needs?

Emergency contact details (Name, Address, Telephone No):

Which language do you speak and at what level?

Do you have a current driving lincence?

Yes

Program Details

Please select your project of choice as per the following list:

The program is starting on the 1. and the 3. Thursday of each month. The program is running 6 weeks minimum and will start with a language course of kiswahili.
Which program dates do you wish to apply for?

If you want to spend the volunteer stay together with a friend, please write her/his name and her/ his complete details:

Some Additional Informations

Please answer the following questions as fully as possible.

Please explain your interest in joining the volunteering program:

Do you have previous or current experience that relates to the volunteer project?

What do you feel you would gain from taking part in this program?

What personal qualities do you have that you feel would contribute to this program?

What are your hobbies and interests?

Please give us any other information which you would like to give us to support your application:

If you have any concerns or questions please let us know:

How did you learn about ‘ACT-Volunteering in Africa’ ?

Files

With this enrolment form please send us the following documents:

Curriculum vitae in english (pdf, max 1MB)

Passport (pdf or jpg, max 1MB)

Photo (pdf or jpg, max 1MB)

Certifications (pdf or jpg, max 1MB)

Finish

Ich habe die Beschreibung des Programms einschließlich der Erläuterungen zu den anfallenden Kosten sowie die allgemeinen Teilnahmebedingungen sorgfältig gelesen und erkläre mich mit Ihnen ausdrücklich einverstanden.*

Teilnahmebedingungen gelesen