Tilmelding * Enrolment * Inscription * GUATEMALA

TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION

	GUATEMALA
	Please fill out in Spanish or English and press the "SEND" button at the bottom of this page. For voluntary social work enrolments send a mail to info@exis.org with your CV and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.
Date:
Nombre/First name:
Apellido/Last name:
Dirección/Full address:
Country:
Téléfono/Telephone:
E-mail:
Nationality:
Occupation:
Formación/Education:
Edad/Age/Birth date:

Calificaciones/Special qualifications:

How long have you studied Spanish?	years months

Knowledge of other languages?	language years
	language years
	language years

When can you start?

Spanish course:	I would like to follow Spanish lessons for
	weeks (minimum 2 weeks)

Voluntary work:	I would like to do part time volunteer work, while following my Spanish lessons
	Part time volunteer work while following lessons

Voluntary work:	I would like to do full time volunteer work after my spanish course for
	weeks (minimum 2 weeks)

Priorities	Which kind of volunteer work do you want to do?
	1 Health
	2 Social work
	3 Environmental work:
	Wildlife Rescue Center
	Turtles, iguanas and alligators
	National Park

Do you smoke?	Yes
	No

Diet	Do you have any dietary restrictions (e.g. vegetarian)? If yes, please specify:

Insurance?	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.

Apellido, nombre / Surname, first name

Dirección/Address

Téléfono/Telephone

E-mail:

Eventuelle bemærkninger: Comments:

Hvordan kom du i forbindelse med Exis? How did you find Exis?

		For voluntary social work enrolments, please an e-mail to info@exis.dk, with a CV and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.