TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
Community Service Programme Kenya
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

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

Please also remember to 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, including a picture - and stating any previous experience.
Date:
First name: According to passport
Last name: According to passport
Full address:
Country:
Telephone:
Mobile phone:
E-mail:
Skype:
Nationality:
Passport number:
Education/Profession:
Birth date:
   
Languages spoken: language years
  language years
  language years
   
How long have you
studied English? 		years months
   
Do you smoke? yes
  no
Are you under any
medical treatment, if
yes, please specify!
   
Do you have any dietary restrictions ? yes
  no
If yes, please specify:
   
Expected arrival date:
(When do you want to start the programme?).		 (Day, month, year)
   
Duration voluntary work: How lmany weeks do you want to volunteer?
  Number of weeks:
Voluntary work preference: Which type of volunteer work would you like to do?
Please type in the number in order of preference (1,2,3) in the first colum and tick off the squares of your choice in the second column.
 
Orphanages
Teaching
Hospital
Vocational training and rehabilitation
HIV/AIDS Project
Sports Academy
Old age Homes
Music School
Internship
Giraffe Center
National Park
 
Travel together? Do you wish to travel together with a friend?
  yes
  no
   
  If you want to travel with a friend, please state his/her name:
 
Insurance? Do you want EXIS to provide travel insurance?
  yes
  no
Safari? Do you wish to participate in a 5 days safari? yes no
Address of parents in case of emergency:
   
Names:
   
Address:
   
Telephone:
   
E-mail:
   
Comments:
   
Where did you find Exis?
   
   
Submit button will be clickable once you've accepted the general conditions and information.  

Remember to mail a Letter of Motivation to info@exis.dk:

In this letter you can tell us a bit about yourself, and about why you want to volunteer. Please include any relevant experience and/or personal interests.