Application Meet Guatemala

My volunteer Tour
Name project: Date of departure (day/month/year): Duration:

Personal Details
Surname: First name: Address: Telephone number: E-mail address: Date of birth:

Details of overseas contact during proposed trip (relative or friend) in case of emergency
Name: Address: Telephone number: Relationship:

Nationali ty
Nationality: Passport Number: City of issue: Date of issue: Valid until:

Details concerning your education

University /Collage: Course/ Degree: Date of graduation: Main subjects:

Active religion (if any): Do you smoke? [ ] Yes [ ] No

Give us details of previous Work and Travel experience

Health
We need to be confident that you are in good health and that you are suited for this program. Please answer all the questions below: Do you have any major health problems that we should be aware of (e.g.

asthma, epilespy, allergics etc.) Are you taking any regular medication? [ ] Yes [ ] No Have you ever suffered from serious or permanently debilitating illness? [ ] Yes [ ] No Do you have any physical limitations? [ ] Yes [ ] No Are you undergoing any sort of medical treatment, including pills or drugs? [ ] Yes [ ] No Have you had any criminal convictions? [ ] Yes [ ] No Do you have any special food restrictions? [ ] Yes [ ] No If the answer is YES, explain below:

Please outline why you want to take part in this programme in Guatemala. What do you think you can contribute with and what do you hope to get out of this program?

Please state clearly what you are expecting from the type of work you have selected.