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Cambodia - Application

Please take your time to fill out this application form thoroughly, as it is used to assess your suitability for the program. This form allows you to find whether you are suitable for the program you are interested in, and it does not imply an obligation or commitment to join the program. You will be notified within two working days as to whether your application is successful.

If you are part of a group of five or more, please use our group application form at http://www.volunteer.org.nz/groupapply.

Compulsory fields are marked with *.

Your General Details

Your Name*

Date of Birth*

Gender
Male Female

Nationality*

Your Contact Details

Postal address (including zip code)*

Country*

Phone (home)

Phone (work)

Fax

Email address (please check)*

Alternate email address

Education and Experience

Highest qualification*

If you have obtained or are pursuing a degree, please indicate your area(s) of study.

Other relevant qualifications and skills

Work experience (Please be specific.)

Travel experience (Please be specific.)

Please state any health condition that you have, including allergies or disabilities (it is important for us to be aware of any condition so we can be prepared in placing you)*

Have you previously volunteered in another GVN program? If so, please state the location and dates in which you volunteered.

Volunteering

When would you like to go to Cambodia?*

Other

How did you locate our website?*

Specifically:

I have read and agree to your legal terms of service*
I agree

Would you like to receive our monthly newsletter?
Yes (html) Yes (plain text) No

If you have difficulties submitting your application via the online form, please send us an e-mail at with the fields from the application form pasted into the body of the e-mail.