Volunteer Intake Form

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English Language Campus, Sri Lanka. https://elcampus.org

Name *

Email *

Address *

Phone number *

Age *

Nationality
*

Gender
*

Male

Female

Emergency Contact - Name
*

Emergency Contact - Relationship
*

Emergency Contact - Phone Number
*

Anticipated Start Date
*

YYYY

Duration of Commitment

Do you have any medical conditions or special requirements we should be aware of?
*

Have you ever been convicted of a crime that would disqualify you from working with children?
*

Yes

Do you possess a police clearance, such as a Blue Card from Australia or a similar clearance from another country?
*

Yes

Is there anything else you would like us to know about you or your volunteer preferences?

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