TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION
 
NEPAL
 

Tilmeldingsformular - Enrolment Form - Fiche d'inscription EXIS

 

Please fill out in 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.
Date:
First name:
Last name:
Address:
Country:
Telephone:
Mobile phone:
E-mail:
Nationality:
Occupation:
Education:
Birth date:
Passport number:
Issued date:
Issued place:
Expire date:
   
Special qualifications:
   
Languages spoken: language years
  language years
  language years
   
When can you start?
   
Programme choice
Programme A
  Programme B
  4 weeks summer programme
   
   
For A + B:
How many weeks do you wish to volunteer, including language and culture programme?
 
   
   
  Which community service do you like to do?
  A1 Orphanage
  A2 Conservation
 

A3 Teaching English

   
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.
   
Surname, first name
   
Address
   
Telephone
   
E-mail:
   
Comments:
   
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.