TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
BOLIVIA
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in Spanish or English and press the "SUBMIT" 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.
Dato:
Nombre/First name:
Apellido/Last name:
Dirección/Address:
Country:
Téléfono/Telephone:
E-mail:
Nationality:
Occupation:
Formación/Education:
Edad/Age/Birth date:
   
Calificaciones/Special qualifications:
   
How long have you studied Spanish? years months
   
Knowledge of other languages? language years
  language years
  language years
   
When can you start?
   
Language course:
I would like to follow spanish lessons during
  2 semenas weeks
  4 semenas weeks
  6 semenas weeks
  8 semenas weeks
  10 semenas weeks
   
Voluntary work: I would like to work as a volunteer for
  4 semenas weeks
  6 semenas weeks
  8 semenas weeks
  12 semenas weeks
  16 semenas weeks
   
Priorities Please give 3 priorities:
  A1 Casa de la mujer "Sayariy Warmi"
  A2 Guadería Infantil "Sayariy Warmi"
 

A3 Children's home Betania

  A4 Hogar "Sucre"
  A5 Kindergarten "Ovando"
  A6 Hospital Psiqiátrico Gregorio pacheco
 

A7 Hospital & Internado Psicopedagógico

  A8 Hogar Tata San Juan de Diós
  A9 Echevarria
  A10 San Roque Kindergarten
  A11 Parque Nacional Machia - Villa Tunari
  A12 San Miguel del Bala
   
Accomodation Which accomodation do you prefer during voluntary work?
  Family
  Apartment
   
Do you smoke? Yes, I smoke
  No, I don't smoke
   
Pårørende der bedes underrettet i tilfælde af sygdom o. lign.
Who to contact in case of illness etc.
   
Apellido, nombre / Surname, first name
   
Dirección/Address
   
Téléfono/Telephone
   
E-mail:
   
Eventuelle bemærkninger:
Comments:
   
Hvordan kom du i forbindelse med Exis?
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.