APPLICATION FORM FOR VOLUNTEERS
Please fill out this form if you are interested in volunteering with ANKIZY GASY
PERSONAL INFORMATION
First name *
Last name *
Nationality *
D.O.B. You must be 18+ *
dd/mm/yyyy
Address *
e-mail *
mobile *
including country code
How did you hear about ANKIZY GASY
choose from a list
HEALTH AND EMERGENCY INFORMATION
Blood type *
Do you have any special medical conditions? *
Please give names of all medicines you need to take against it
Do you have any serious allergies? *
including your medicines
Do you have any food requirements?
EMERGENCY CONTACT *
Please provide details of a person in your own country who we can contact in case of any emergency
STAY
Type of stay in Madagascar *
Possible dates of your stay in Madagascar *
Please give a period of time when you want to work with us
If Saint Joseph College is not able to host you, would you like to be put in contact with other children centres we know which need help? *
Languages *
Please rank your fluency next to each language
Have you ever been or lived in Madagascar before volunteering for Ankizy Gasy?
If yes, please tell us about your previous stay and experience.
What would you like to do as a volunteer? *
Please precise your preferences or experience
What do you expect from your stay with Ankizy Gasy?
Personally or professionally
ACCOMMODATION
In which type of accommodation are you ready to stay in? *
Several answers possible
Required
NOTES
Indicate below all the supplementary information you think Ankizy Gasy should know before or during your stay with us. Do not hesitate to ask us any questions you may have. We are waiting for you!
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