Online Application Form
Agreement “Disclaimers”:

My contact application details are correct and i agree that Mediterranean forum for social development can use them for the management of the program i applied for « adress lists,mailings,...etc. »

I agree that MFD can use pictures taken at the program for documentation purposes « report,website... ».
I agree to participate in the full duration of the program mentioned above.
I commit myself to the preparation and evaluation of the program.
I understand and speak enough English to be able actively participate in working groups and discussions.
I accept the conditions of participation according to the program of this organisation and I fully understand and accept my responsibility to obtain health and travel insurance for the duration of my travels.
I agree to pay my participation fee, or any extra fee required of the program I am accepted, and I take full responsibility on VISA process and Providing the required Documents that prooves my socioprofessional sitauation in my country, and I am aware and informed that MFD is not responsible in refusal of my VISA , or any delay caused by the concerned consulate.

I am aware, and accept that in case of receiving a refusal of my visa, or cancellation of my participation in the program or in case of matter that does not allow me to participate in program a deposit of 150 Euro is not refunded, and upon a writen demand to MFD i have right to ask for the remaining amount of my participation fee, or apply for a second chance program.

* Concerns Moroccan pax: - Participation fee of a Program abroad is 250 euro to be paid once the participant is confirmed by the hosting structure, it includes for one time one participation per year, and in case of non participation 150 Eur deposit is not refunded, and the participant has right to get back 100 Euro back or apply for a second chance.
* some extra fee, depends on program might apply.

* VISA fee, and travel related costs are not included in the participation fee.

I agree and accept the conditions mentionned above.

Full Name *
Your answer
Gender *
Address: *
Your answer
Phone Number : *
Your answer
E-mail address *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Occupation *
Your answer
Passport Number *
Your answer
Expiry Date of Your Passport *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Nationality *
Your answer
Ability to Swim *
Driving license *
Special health care needs *
Write down if any special needs like diet, treatment, allergies and others occure.
Your answer
Contact person / Relationship to you
Write down name and last name of a contact person, e-mail address and cell phone number and your relation to a person. This contact would be used only in emergency.
Your answer
Language and level of Profeciency *
Level of Knowledge (Native -Good- Midium-Basic)
Native
Excellent
Good
Medium
Basic
English
French
Spanish
Other
Previous volunteer experience *
If yes, write: where, when and the tasks you did.
Your answer
MFD- Exchange Program *
What Kind of Program or Project you are applying for?
Program Abroad (case reserved only for Moroccans) *
Program organised by MFD Partners abroad, Please select your preffered program
Write your preffered program name and Country of preference *
Your answer
Why do you wish to take part in MFD Program ? *
Write a short motivation letter (250 words)
Your answer
What are your personnal interests? *
What do you like to do in your free time? Are there any special skills that you could share or teach?
Your answer
Choose the most suitable accommodation option.
In the case you would like to be placed together with your friend, please type his/her name
Your answer
T-Shirt Size
See You Soon ...
Captionless Image
Your answer
Signature (Name and Place of Signature)
The date of your signature is automatically recorded in our Data
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms