Tilmelding * Enrolment * Inscription * PERU

TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION

	PERU
	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
	12 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 Ninos discapacitados
	A2 Peta
	A3 Ninas Huerfanas
	A4 Educadores de la Calle
	A5 PRONOEI kindergarten
	A6 Asilo de Ancianos
	A7 Ninos Huerfanso
	A8 Marcavalle
	A9 Nonos Abandonados
	A10 Madres Adolescentes

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?

		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.