First Name:
Last Name:
Date of Birth:
Sex:
Select
Male
Female
Nationality:
Passport number:
Passport date of expiration:
I.D. number: (if different than passport number)
Please enter you permanent address details below.
Address:
City:
Zip/Postal Code:
Country:
Telephone No:
(Including Country & Area Code)
Please enter any temporary address details below.
Address:
City:
Zip/Postal Code:
Country:
Telephone No:
(Including Country & Area Code)
Email Address:
(Please include any other language that you speak and how fluent you are at speaking them)
Language:
Please enter the primary contact details of the family / contact person back home for the period you are a volunteer.
Name:
Surname:
Address:
City:
Zip/Postal Code:
Country:
Telephone No:
(Including Country & Area Code)
Your proposed date to join the volunteer program:
How many weeks do you want to serve:
Select
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
7 weeks
8 weeks
9 weeks
10 weeks
11 weeks
12 weeks
+12 weeks
Have you had any international or intercultural experiences (for example: camps and conferences in other countries, contact with people of other cultures, etc.)? If so, please give details:
Have you been involved in any organizations, movements, service programs or other projects? If so, please give details:
What is your current work status:
Select
Employed
Un-employed
Part time
Sabbatical
What, if any, experience have you had working with adolescents: (describe what it was, when it was and the duration)
What (if any experience have you had within the HIV/AIDS field: (describe what it was, when it was and the duration)
Why do you want to volunteer for Chennells Volunteer Projects:
What skills do you have that you can use to contribute towards Chennells Volunteer Projects:
What would you like to gain from working at Chennells Volunteer Projects:
How did you hear about Chennells Volunteer Projects:
What are your hobbies:
What are your dreams:
What do you hope to gain from and achieve during your experience at Chennells Volunteer Projects:
Have you been convicted of a felony:
Select
Yes
No
Please attaché copies for the following items.
A copy of your C.V. or resume:
Two letters of recommendation (preferably from a previous employer or your from someone who is familiar with you.)
Letter 1:
Letter 2:
Please attach two recent photographs.
Photograph 1:
Photograph 2:
T-Shirt size:
Select
S
M
L
XL
Please indicate which project you would like to be involved in. Volunteers are more than welcome to move from project to project on a weekly basis.
Projects:
I agree to the terms & conditions