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Enrolment – USA

Please fill out this form and press “send” at the bottom of the page.

Please also send a “Letter of motivation” to [email protected] in which you tell us a bit about yourself and about why you’Enrolment form – EXISd like to volunteer in the US.

Once we can confirm there’s a vacant spot on the desired project, we’ll send you a confirmation as well as further practical info.

Payment:
There’s no upfront payment – instead you will be charged a deposit (EURO 200), approx. 14 days after enrolment.

The remainder of the fee should typically be paid 8 weeks before arrival in the US.

You’re always more than welcome to contact us if you’ve got questions/comments along the way.

Personal details

First Name(s)
Last Name(s)
Nationality

Address

Street
Postal Code
City
Country

Contact Info

Phone Number
E-mail (required)

Passport info

Place of birth (according to passport)
Date of birth - date, month, year (according to passport)
Passport number (according to passport)
Passport issued - place (according to passport)
Passport issued - date (according to passport)
Passport expires - date (according to passport)

About you

Occupation/Education

How long have you been speaking English?

Relevant experience (if any)

Do you smoke?
YesNo

Do you take any medicine?
YesNo

If yes, please specify:

Have you suffered from any injuries over the past 5 year (e.g. knee or back injuries)?
YesNo

If yes, please specify:

Do you have dietary restrictions (vegetarian, vegan, hallal, etc.)?
YesNo

If yes, please specify:

Program Details

Desired date of arrival:

For how long would you like to participate?

Clothing

T-shirt size:

Travel Mates

If you are travelling with a friend (or more than one), please state their names here:

Check here if you want to sign up for our list of people looking for a travel buddy:

Yes, please!

Contact person in case of emergency (e.g. parents, spouse, sibling)

Name
Phone Number
E-mail

In conclusion

Comments to your enrolment:

How did you find out about EXIS?

Feel free to tell us details about how you found EXIS: