Volunteer - Application 2014
Application form for volunteers
All fields market with (*) are required exept set by default to (optional)
Name (*)
Invalid Input
Last Name (*)
Invalid Input
Birthday (*)
Invalid Input
Gender (*)
Invalid Input
Nationality (*)
Invalid Input
Street (*)
ZIP (*)
Invalid Input
City (*)
Invalid Input
Country (*)
Invalid Input
Phone (*)
Invalid Input
Cellphone / Mobile (*)
Invalid Input
Your e-mail address (*)
Invalid Input
Spoken languages (*)




Invalid Input
Upload picture (max 999KB)
Invalid Input

Previous volunteer experience (*)
Invalid Input
Previous work experience (*)
Invalid Input

Please, state your level of experience in the following activities (*)
























Invalid Input

Special interests / hobbies
Invalid Input
Please write a few sentences why you would like to join us as a volunteer (*)
Invalid Input

Do you have any physical or mental problems, infectious diseases, allergies that we would need to take into account for your work here? (*)
Invalid Input
If yes, please, specify
Invalid Input
Are you currently taking any medication? If so, please write down which one and for what (*)
Invalid Input
if yes please specify
Invalid Input
Do you smoke ? (*)
Invalid Input
Is your working ability in any way limited ? (*)
Invalid Input
If yes, please specify
Invalid Input
Do you have a health and/or travel insurance (*)
Invalid Input

The volunteer program lasts for 4 to 6 weeks. Please give your first and second choice, when you would like to come and how long you would like to stay ?
Start date first choice (*)
Invalid Input
Start date second choice
Invalid Input
I would like to stay (*)
Invalid Input
Anything that comes to mind that you think is interesting for us to know (*)
Invalid Input

How did you find us ? (*)
Invalid Input
I read and understood the whole text. Iherby declare that all my statements are accurate and truthful.
(*)
Invalid Input
This information will be treated confidentially