TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
COSTA RICA
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in Spanish or English and press the "SEND" button at the bottom of this page.

For voluntary work enrolments send a mail to info@exis.org with your CV and a personal letter of motivation with picture explaining why you are interested in working as a volunteer and stating any previous experience.
Date:
First name:
Last name:
Address:
Country:
Telephone:
E-mail:
Nationality:
Occupation:
Education:
Age/Birth date:
   
Special qualifications:
   
How long have you studied Spanish? years months
   
Knowledge of other languages? language years
  language years
  language years
   
When can you start?
   
Language course:
I would like to follow spanish lessons during
  2 semenas weeks
  4 semenas weeks
  6 semenas weeks
  8 semenas weeks
  10 semenas weeks
   
Voluntary work: Prefiero trabajar como voluntario con - I would like to work as a volunteer with:
  Programa A - trabajo social y otros trabajos voluntarios
      / social work and other voluntary work
  Programa B - parques nacionales / national parks
   
Program A: Program A: Length of voluntary social work:
  4 semenas weeks
  6 semenas weeks
  8 semenas weeks
  10 semenas weeks
  12 semenas weeks
   
Program A: Para programa A, por favor, escoger tres de las posilidades singuientes según sus prioridades. In programme A, please select three of the following options according to your priorities.
  Centro Educativo de Educación Prioritaria Itiquís
  Patronato Nacional de la infancia Naranjo
  Hogar Magdala
  Escuela San Luis
  Centro educativo Santo Domingo
  Escuela Nacional de Rehabitacion
  Hogar de Ancianos Santiago Carrillos
  Hogar de Ancianos Santiago Crespo
  Central Library of the National University
  Escuela de Enseñanza Especial (Alajuela)
  Centro Educativo San Gabriel
  Hospital Nacional de Niños San José
  Fundación Servio Flores Alajuela
  Escuela Jesús Magdalena de Cacao
   
Program B: Program B: Length of voluntary work in National Park
  1 semena week
  2 semenas weeks
  3 semenas weeks
  4 semenas weeks
   
  Parque Nacional
   
Do you smoke? yes
  no
Do you want EXIS to provide travel insurance?
  yes
  no
Pårørende der bedes underrettet i tilfælde af sygdom o. lign.
Whom to contact in case of illness etc.
   
Surname, first name
   
Address
   
Telephone
   
E-mail:
   

Comments:
   

How did you find Exis?
   
Remember to send us your CV and letter of motivation   For voluntary work enrolments, please send by e-mail to info@exis.dk a CV with picture and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.