Volunteer Exchange Form
Name
Last Name
Sex     Date of Birth 

Address
 
Zip/city/Prov.
Country
e-mail
Telephone
Occupation
Nationality

Emergency Contact Name
Telephone

Languages
(Language/Level)
Please use the Remarks field to specify a language not listed here
1: 2:
3: 4:

Remarks on Health/Special Needs/Diet

Past Volunteer Experience (indicate country, year and type of work)

Workcamp choices according to preference
  Code Name/Location Date    
1
2
3
4
5
6
7

Why do you wish to take part in a volunteer project?
General remarks