Volunteer Application

Family Name
Given Name
Nationality
Country of birth
Native language
Passport number
Postal Address
City
State/Province
Zip/Postal Code
Country
Work Telephone
Home Telephone
FAX
E-mail
Date of Birth Age
Sex Male Female
Do you Smoke? Yes* No Sometimes
*If you smoke do you understand that you are not permitted to smoke in the host family home?
Do you take alcohol? Yes* No Sometimes
*If you take alcohol do you understand that you are not permitted to drink in the host family home?
 
Occupation

Previous Trips Abroad

Activities You Enjoy

Qualities you admire in others

Reasons for participating in this program?
 
Travel Dates
Proposed date of arrival into Ghana
Proposed date of departure from Ghana
 
CV / Any Other Relevant Information