Volunteer Application Form:
SEEDS Voluntourism Trip To Zambia
About You
Title *
Please select
Mr
Mrs
Miss
Ms
Dr
Full Name *______
Postal address *______
Country *______
Phone number (including country code) *______
E-mail *______
Do we have your permission to pass on your e-mail address to other volunteers? *
Please select
Yes
No
Volunteers find it useful to be put in contact with past, present or future volunteers prior to the start of their placement.
Date of birth *______
Volunteer area of interest *
Please select
Carpentry
Plumbing
Cooking
Children’s Education
Computer skills
Healthcare
Environment
Animal Husbandry
Agriculture
Team leader
Mixture of the above
Healthcare professionals: Please note that we will need photocopies or scanned copies of your qualifications.
Ideal dates for traveling with SEEDS to Zambia *______
Preferred number of weeks *______
How flexible are you regarding these dates? *______
Very flexible, fairly flexible, or not at all flexible? Please give us as much information as possible as it will help us to plan our volunteer schedule.
Are you aware of the amount of money you will have to pay to volunteer with SEEDS in Zambia? *
Yes or No. If No, please go to the "Costs to Volunteer" page on the website to make sure you know how much you will have to pay before you submit this form.
The Nitty Gritty
Reason(s) for wanting to volunteer *______
Previous education, employment, and work/travel *______
Experience overseas *______
Personal interests *______
Future plans *______
What are your strengths? *______
What are your weaknesses? *______
Why do you think you will make a good volunteer? *______
Based on the information you have read on the SEEDS website, how in particular do you think you could proactively contribute to the community development in Zambia by volunteering with SEEDS? *______
Proactive, "ideas" type people tend to get the most benefit from the volunteering program.
Any other relevant information
References
How did you hear about volunteering with SEEDS?
*______
Please give the name, address, and e-mail of one professional referee and one personal referee *______
Your professional referee must have worked with you for at least one year. It would also be helpful to know your relationship to your professional referee.
Your personal referee must have known you for at least five years and cannot a member of your immediate family. It would also be helpful to know your relationship to your personal referee.
Emergency Contact
Emergency contact details *______
Please give us the name, address, phone number, e-mail address, and relationship to you (i.e. mother, father, etc.) of the person who should be contacted in the event of an emergency.