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:
Issued date:
Issued place:
Expire date:
   
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?
  2 weeks
  4 weeks
  6 weeks
  8 weeks
  other :
Area Which area do you prefer?
  Hanoi
  Ho-Chi-Minh
  Which type of volunteer work would you like to do?
  Morning Star Center
  Thanh Xuan Peace Village
 

Vietnam Friendship Village
  Nghia Tan Primary School
  REACH
  National Economic University
  Association Women of Charity
  Local NGOs
  Edcuation
  Social welfare projects
  Youth and Community development
   
   
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.
Who 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.