VOLUNTEER APPLICATION FORM (VAF)
(PLEASE WRITE IN BLACK AND BLOCK CAPITALS AND ANSWER ALL QUESTIONS)
	FOR OFFICIAL USE	

	
1.	Surname:	

Present address:	

	

Telephone:	

Dates at this address:	From:	To:			First name:	F 	M 

Permanent address (if different):	

	

Telephone:	

E-mail:		

2.	Birthdate:	Birthplace*:	

Nationality:	Passport No*:	

Occupation:	

(*if visa is required)	3.	EMERGENCY CONTACT

Name:	

Telephone 	(Day):	

	(Night):		

4.	LANGUAGES

Speak well:	

Speak some:		5.	REMARKS ON HEALTH/SPECIAL NEEDS/DIET

		

6.	PAST VOLUNTEER EXPERIENCES/GENERAL SKILLS (indicate the country, year and type of work)

		

7.	PROJECT CHOICES ACCORDING TO PREFERENCE:
 			
	CODE	NAME	DATES		CODE	NAME	DATES	
								
1.				5.				
								
2.				6.				
								
3.				7.				
								
4.				8.				

8.	BOOK ANOTHER PROJECT FOR ME IF ALL ABOVE ARE FULL:	 YES	 NO	
				
	Dates available:				Country/region preferred:		
				
	TYPE OF PROJECT MOST PREFERRED (please number according to preference)	
				
	 Archaeology	 Construction	 Renovation	 Special needs	 Youth/children	
		
	 Agriculture	 Elderly	 Environmental	 Cultural/arts	 Study	

9.	WHY DO YOU WISH TO TAKE PART IN A VOLUNTEER PROJECT?	

	

	 	

10.	GENERAL REMARKS:	

	

I accept the conditions of participation according to the programme of this organisation and I fully understand and accept my responsibility to obtain health insurance for the duration of my travels:

NIFC-Nepal
Post Box No. 11276 Mahaharajgunj
Kathmandu, Nepal
Tel: 977-1-4427406,  Fax: 977-1-4363950,  E-mail: nifc@mos.com.np		Signature:	
	(signature of parent if you are under 18)

Date: