Volunteer Application Form

INSTRUCTIONS: Please fill in the following information to the best of your ability. Along with your completed application, please send 2 recent digital photos (a field is provided). All information will be kept confidential; our privacy policy is available upon request.
Name *
Marital Status *
Birth Date *
Number of children
Ages of Children
Nationality
Address Line 1 *
Address Line 2
City *
Province/State *
Postal/Zip Code *
Country
Phone *
FAX
Email Address *
Occupation *
Which program are you applying for?	Work team (2-3 weeks) Short term (2 weeks up to 1 year) Student (i.e. Case work for college program you enrolled in etc.) Teacher
If you are applying for the short term program, please provide the details below.

What is your preferred length of stay and time of year you are available: *
For Students & Teams: Please outline & describe your project:
Please provide two recent digital photos. If you are unable to provide a digital photo, please mail a copy to the address nearest you. Click here for contact information.


Security feature; please enter the characters *