Online Application

1.

Full Name *

2.

Date of Birth

3.

Name & Address of School or
University

4.

Home or Other Contact Address

5.

e-mail*

6.

Contact Telephone*

7.

Are you applying for:
(please tick the group A, B or C or D)

8.

Qualifications:
Please list your A Level Course / University or Further Education Course/Professional or Trade Qualifications:

9.

Please list the key points which led you to make this application.

Swimming:
Can you swim 100 metres in calm sea water,two metres deep?

11.

Costs:
Do you understand that volunteers whose applications are successful [after interview and receipt of a supportive letter of reference] are expected to pay for the costs of their visit [which will include return air-tickets, all lecture instruction ,in-country transport, food and accommodation] in the following stages:

Group B

Group D

Two month visits to Ghana or Cameroon have costs of £1900

Payable one month before departure.

These costs are only subject to changes in the currency rates of exchange and changes in return air flight costs.

Further costs
please understand that, in addtion, Volunteers will be committed to find donations (for the projects in Africa) from their family, friends or other sponsors/donors ? These will be at least £750 for the January departures and at least £500 for the September departures.

NB: We help Volunteers to raise these funds through sponsorship and other donations. We have never failed in 13 years. Costs are the same for each Sub-Saharan project so that volunteers may switch projects without a penalty. Differences in actual costs allow cross project subsidies.

12.

Do you have a full UK driving licence?

13.

Please give the following details of your passport:

Nationality

Passport Number

Date of Issue

Place of Issue

14.

Are you: Smoker?

Vegetarian?

Vegan?

15.

Current Height

Current Weight

16.

Please state any illnesses or accidents that have required overnight hospital visits during the last three years, or any current/permanent medication, treatment or disability assistance. If NONE, then please state so.

17.

Do you suffer from any serious allergies/phobias?

If YES, please describe.