Tilbage til projekt-oversigt

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: