TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
Community Service Program Vietnam
 

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:
   
Special qualifications:
   
Languages spoken: language years
  language years
  language years
   
  Desired programme start (1st or 15th each month, fill in date:)
 
Programme
 How many weeks do you wish to volunteer?
  Number of weeks. (min 2)
Project Education
  Nghia Tan Primary School (Hanoi)
  Nam Trung Yen Secondary School (Hanoi)
  Hanoi High School for Gifted students (Hanoi)
  Tran Hung Dao Vocational College and Hanoi Vocational College (Hanoi)
  Will to Live Centre (Hanoi)
  Reach (Hanoi)
  Tan Binh Shelter (Ho Chi Minh City)
  Hoa Sen Shelter (Ho Chi Minh City)
  Social Welfare
  Hope Centre (Hanoi)
  Morning Star Centre (Hanoi)
 

Vietnam Friendship Village (Hanoi)
  Thanh Xuan Peace Village (Hanoi)
  Thuy An Centre (Hanoi)
  Ky Quang Orphanage (Ho Chi Minh City)
  LTK Physio Centre (Ho Chi Minh City)
  Community Development Projects
  Ecotourism (Hanoi)
  The Centre for Marine life Conservation (Hanoi)
  Good School, Good Planet (Hanoi)
  Sustainable Health development (Hanoi)
   
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:
 
   
Emergency contact.
Please provide full name, address, telephone number, e-mail and relationship.
   
Surname, first name
   
Address
   
Telephone
   
E-mail:
   
Comments:
   
Where did you find Exis?
   
Remember to send us your CV and letter of motivation   Please e-mail a CV, a picture of yourself and a letter of motivation to info@exis.dk or info@exis.org explaining why you are interested in working as a volunteer and stating any previous experience.