TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
INDIA
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in English and press the "SEND" button at the bottom of this page. Note: the Submit button will only be visible when you have read, understood and approved our terms and conditions.

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:
First name:
Last name:
Full address:
Country:
Telephone:
Mobile phone:
E-mail:
Nationality:
Occupation:
Education:
Birth date:
Passport number:
Issued date:
Issued place:
Expire date:
   
Special qualifications:
   
Languages spoken: language years
  language years
  language years
   
When can you start?
   
For Delhi, Jaipur, Dharamsala or Palamur
 How many weeks do you wish to volunteer, 1 week introduction included?
  4 weeks
  5 weeks
  6 weeks
  7 weeks
  8 weeks
  9 weeks
  10 weeks
  11 weeks
  12 weeks
   
  Which type of volunteer work would you like to do?
  Teaching English in Delhi
  Teaching English in Jaipur
  Teaching street children in Delhi
  Teaching street children in Jaipur
  Teaching street children in Dharamsla
  Teaching street children in Palamur
  Teaching English at a Monastery
  Women’s development projects in Delhi
 

Work at orphanage in Delhi
 

Work at orphanage in Jaipur
  Work at a kindergarten in Dharamsala
  Work at a day care center in Palamur
  Work with handicapped
  Hospitals and clinics
For Southern India
How many weeks do you wish to volunteer, 1 -3 days of introduction course included?
  4 weeks
  5 weeks
  6 weeks
  7 weeks
  8 weeks
  9 weeks
  10 weeks
  11 weeks
  12 weeks
  13 weeks
  more, how many weeks?
   
  Which type of volunteer work would you like to do?
  Teaching English
  Work in an orphanage
 

HIV/AIDS projects

 

Work with physically or mentally handicapped
  HIV-positive children and victims of child prostitution
  Work with the visually impaired
  Environment
Do you smoke? Yes
  No
   
Diet Do you have any dietary restrictions (e.g. vegetarian)? If yes, please specify:
 
   
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 social work enrolments please add a CV and a personal letter of motivation explaining why you are interested in working as a volunteer and stating any previous experience.