TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
NEPAL
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in 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:
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?
   

How many weeks do you wish to volunteer, including one week language and culture programme?
 
   
   
  Which community service would you like to do?
  Teaching English
  Teaching English at a Monastry
 

Health care and medical program
  Orphanage
   
Do you smoke? Yes
  No
   
Diet Do you have any dietary restrictions (e.g. vegetarian)? If yes, please specify:
 
   

Name, address and telephone number, email address of parents in case of emergency

   
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.