Discover a new culture by becoming an Island Volunteer

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To Apply to become a Volunteer, simply fill out this form (No Payment required)
(note: you are required to fill up all fields except those marked with ***)
Personal Details
First Name Surname
Age years old Gender  Male     Female
Mailing Address
Town/City State/Province
Country of Residence Zip/Post code
Nationality Email Address
Questionnaire
What is your education level? What are you doing at present?
If working, what is the nature of your work and your position?
What is your native language? *** Other languages you can speak fluently?
...
Please explain briefly your character as best as you can
Please give reasons for wanting to become an Island Volunteer
Have you ever been a member of any other volunteer programs? No     Yes
If yes, please give details below
Have you been to asia before? No     Yes   If so, where? 
Are you available to volunteer during the month of February 2009? Yes     No
Do you have any special health/dietary requirements we need to be aware of? No     Yes
If yes, please give details below
Do you have any criminal convictions? No     Yes
If yes, please give date and details of offense
Do you consider yourself to have a disability? No     Yes
If yes, please give details below
Do you have any history of mental illness or depression? No     Yes
If yes, please give details below
*** Please use this space for any additional information you wish to tell us about
Where did you hear about Island Volunteers?
 Google search
 Yahoo search
 Ask search
 Referred by another website (Please specify website) 
 Referred by a friend
 Others (Please specify) 
 
 
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