Tilmelding * Enrolment * Inscription * SRI LANKA

TILMELDINGSFORMULAR * ENROLMENT FORM * FICHE D'INSCRIPTION

	SRI LANKA
	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: (Do you have any work or other experience that might be useful for the programme?)

Languages spoken:	language years
	language years
	language years

When can you start?


For A + B:	How many weeks do you wish to volunteer, including 1 week introduction?
	4 weeks
	5 weeks
	6 weeks
	7 weeks
	8 weeks
	9 weeks
	10 weeks
	11 weeks
	12 weeks
	Extra excursions

	Which type of volunteer work would you like to do?
	A1 Teaching English at schools
	A2 Teaching English to Buddhist monks
	A3 Sambodi Shelter
	A4 Work at orphanages
	A5 Elephant orphanage
	A6 Turtle conservation project

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?

		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.