TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
PERU
 

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 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:
Address:
Country:
Telephone:
E-mail:
Nationality:
Occupation:
Education:
Date of Birth
   
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
     weeks (minimum 2 weeks)
   
Voluntary work: I would like to work as a volunteer during
     weeks (minimum 2 weeks)
   
Priorities Please give 3 priorities:
  Ninos discapacitados
  Peta
 

Ninas Huerfanas

 

Educadores de la Calle

  PRONOEI kindergarten
  Asilo de Ancianos
 

Ninos Huerfanso

  Marcavalle
  Ninos Abandonados
  Madres Adolescentes
  Shelter for children
  Parochial Health Centre
  Red Cross
  Public school
  Soccer School
  Zoo
Do you smoke? Yes
  No
Insurance? Do you want EXIS to provide travel insurance?
  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.
Who to contact in case of illness etc.
   
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.