Work camps
Application form for Participation in International Multi-Disciplinary Work camps Mandatory fields are marked with *
Family name
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Given names
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Sex
Male
Female
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Date of Birth (dd.mm.yyyy)
Nationality
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Present occupation
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Area of Specialisation
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if student, state subject area
Address (2000 chars left)
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Postal Code
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City
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Country
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Telephone
Mobile Phone
Work phone
Email
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Emergency contact (phone number) / name of the contact person whilst you are away on the project
Passport number (Check visa requirements for chosen project location)
*
Give details of your voluntary / community work experience including work camps if applicable (2000 chars left)
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Reason(s) for participation in workcamp (2000 chars left)
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What do you think you can contribute to the workcamp as a volunteer? * (2000 chars left)
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Mother tongue
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Other languages you speak. Please indicate Fluent, Good, or Basic.
Special Dietary needs, e.g. vegetarian, Religious, Medical reasons
Any serious accidents, illnesses, disabilities, allergies
Workcamps chosen in order of preference: *
Western Africa II : A. Bumbuna town and 15-20 villages in Northern Sierra Leone. B. Gelehun, Blama and 12-15 towns and villages, 170 km from capital city Freetown along Bo/Kenema highway including chiefdom sections of Fallay, Kamboma, Sowa, Nyama and Gorama. 19th October - 2nd November, 2018
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Western Africa III: Bamenda Cameroon in Collaboration with Ministry of Health Cameroon, AEMRN Bamenda Cameroon Period: 10th April - 17th April 2019
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Western Africa I: Nigeria - Cross River State including the surrounding villages of Akpabuyo, Akamkpa and Odukpani Period: 31st May - 9th June, 2018
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Southern Africa I - Lusaka, Zambia Lukulu and 15-20 surrounding towns and villages 45 to 600 km from capital city Lusaka, Zambia Period: 23rd June – 30th June 2020
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Western Africa IV Ghana Prampram and 15-20 surrounding villages about 50-70 Km from Accra the capital of Ghana - Period: 29th July - 7th August, 2019
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East Africa II Uganda – Outskirts of Kampala and surrounding towns and villages Period: 13th July - 20th July 2019
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Eastern Africa - I: Kenya - Kitale, Matisi, Kisumu, Bungoma, Mateka, Kaptanai and 20-25 surrounding villages North Western Kenya. Period: 23rd August - 2nd September, 2018.
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Estimated time you can afford to volunteer at the Workcamps
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Why do you choose this particular workcamp? (2000 chars left)
What do you expect from it? (2000 chars left)
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Please if the given address above is a temporary one, kindly write your permanent address.
If necessary, please indicate the dates within which this address is valid. (2000 chars left)
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Thanks a lot!
We will get in touch with you as soon as possible.