Tara Rokpa Centre Volunteer Application Form
TRC is a retreat centre in the Groot Marico District, North West Province in South Africa: https://goo.gl/6cd06e

Please complete this application form if you would like to spend time at the Centre as a volunteer.

First Name *
Your answer
Surname *
Your answer
Email address *
Your answer
Gender *
ID or Passport Number *
Your answer
Nationality *
Your answer
Age
Cellphone number *
Your answer
Physical Address *
Your answer
Emergency contact person (name and phone number) *
Your answer
Driver's License Valid for RSA *
Is this your first application as a volunteer? If not, please give details: *
Your answer
How long do you wish to stay at TRC? *
When would you like to arrive? *
Your answer
Do you have any medical conditions, or dietary requirements, or take any medication? If yes, please specify:
Your answer
Do you have medical aid/health/hospital insurance? *
If no, how will you fund any medical expenses, should they occur?
Your answer
Do you have any legal issues we should be aware of, e.g. refugee status? This will not affect your application but we need to be aware of them. *
Your answer
What is your current family or community situation? *
Your answer
What is your current employment situation? *
Your answer
Do you have previous experience of the Tara Rokpa Centre, Tara Rokpa Therapy, Rokpa International or Karma Kagyu centres worldwide? Please detail. *
Your answer
Why do you want to volunteer at Tara Rokpa Centre? *
Your answer
What contributions can you make at Tara Rokpa Centre based on your skills, experience and interests? *
Your answer
Skills relevant to this application – mention any qualifications, but learning from any source is welcome, e.g. life long learning etc.
Your answer
How do you believe you will cope with the isolation of the Centre? *
Your answer
What vision do you have for your time at Tara Rokpa Centre? *
Your answer
How will you manage links with your family or friends? *
Your answer
Please give the names, telephone numbers and emails of two referees: *
Your answer
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