Volunteer International

Our Volunteer Programs' Application

Thank you for taking the time tocontact us. Please fill in the required details.Thank you. If you want to contact us regarding any other information, please use the informa


Name
Date of Birth
Place of Birth
Gender	Male \| Female
Intended Start Date
Applying for
In case of "Other" Please Explain
Mailing Address
Permanent address if different from above
Email
Phone Number
Fax
Nationality
Passport Number
Expiration Date
Marital Status	Single \| Married
Is your spouse coming too?	Yes \| No
If yes what is their name?
How many kids will accompany you?
Your Health
Are you presently under any medication or treatment? If so, please explain
Do you have any health problems or physical limitations (e.g. epilepsy, diabetes or operation)? If so, please explain:
Are you on any kind of special diet? If so, please describe
Are you allergic to any medicines or foods? (please explain)
In case of emergency please conact:
Relationship
Telephone Number
Email Address
More Info
Please list your past volunteer work and/or experience
What is your present occupation?
What are some of your talents and hobbies
If you have any other comment you would like to make, please enter it here

Thank you for your input. We will be in touch.
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Our office in Africa is located in Nairobi, Kenya.
Mail Address: P.O. Box 1249 - 00100
Office telephone: +254-20-316654 cell phone: +254-722-224022
Email address:info@volunteerinterns.org
Location: Nairobi City center along Koinange Street, Sirona House, 1st Floor, room 201.