TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
GUATEMALA
 

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 semanas weeks
  3 semanas weeks
  4 semanas weeks
  5 semanas weeks
  6 semanas weeks
7 semanas weeks
8 semanas weeks
  9 semanas weeks
Voluntary work: I would like to work as a volunteer for
  4  semanas weeks
  6  semanas weeks
  8  semanas weeks
  12 semanas weeks
  16 semanas weeks
   
Priorities Please give 3 priorities:
  A1 Cruz Roja
  A2 Open Windows
 

A3 Fundalago

 

A4 Camino Seguro

  A5 Puesto de Salud
  A6 Nuestros Ahijados
 

A7 Hermano Pedro

  A8 Centro de Bienestar Social
  A9 Nino Obrero
  A10 Aldea Mano de Léon
  A11 Prisión de Mujeres
  A12 Common Hope
  A13 Escuela Union y Esperanza
  A14 Casa Milagro
  A15 Wildlife Rescue Centre
   
Do you smoke? Yes
  No
   
Diet Do you have any dietary restrictions (e.g. vegetarian)? If yes, please specify:
 
   
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.