PERSONAL INFORMATION
  Name  
Address
    Street / No.  
    City  
    State  
    Country  
    Postal Code  
  Email  
  Phone  
  Date of Birth  
  Gender  
  Country of Citizenship  
  Passport No.  
  Expiry Date:  
  Passport Country of Issue:  
EDUCATION/ WORK EXPERIENCE
  Highest degree of education completed  
  Name of school attend(ed/ing) & area of study:  
  If working, where and what is your position?  
  Please list/ explain studies, personal experiences, skill, interest, previous international travel or prior volunteer services & how these experiences might enhance your participation  
   
List of native languages:
   
List of foreign language abilities & fluency/ proficiency of each:
   
EMERGENCY CONTACT INFO
  Name:  
  Address:  
  Email Address  
  Phone:  
  Relationship to you:  
PLACEMENT/ VOLUNTEERING CHOICE:
  Type of Preferred Placement:    
Medical Placements
Teach English
Teaching Children with Physical(deaf, blind, visually impared, mute), Mental and Developmental Disabilities
Volunteer in an Orphanage
Volunteer in the City Nutrition Office
Volunteer with the Social Welfare Department
Volunteer with the Street Children
  Date of Volunteering:    
      from  
      to      
Are these dates flexible? Do you have plans of extending your stay?
   
Type of work you envision & skill you specifically can / want to use in your placement:
   
Expectations & goals for the trip:
   
Have you ever traveled to a third world country before? If so, where, and for how long?
   
Have you been to Asia before?
   
         
ADDITIONAL INFORMATION
  Briefly describe your personal motivation for participating in an international volunteer experience:  
   
  What do you hope to gain most from this experience? What do you hope to impart to the community/ placement where you will be placed?  
   
  Traveling and living abroad can be challenging and overwhelming at times. What qualities do you have to adjust to the new environment in the Philippines?  
   
Have you ever been convicted of a felony? If yes, plese explain.
   
Do you have any history of mental or emotional instability? If yes, are you taking any medication to control this?
   
Do you have any medical conditions that we should be aware of such as allergies, asthma, diabetes, depression, recent injuries, or surgeries? If yes, please explain.
   
Additional information you would like us to consider:
   
  Dietary restrictions (list any food that you do not eat):  
   
Please list the names of three people we can contact for a personal reference and their relation to you, along with their email address.
 Send me your newsletter
Note: Please email us your CV/resume along with this application.
Our Terms and Conditions may be viewed in either Microsoft Word format or PDF, which requires Adobe Acrobat Reader.
Terms and Conditions - Word | PDF
 
     
 
   
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