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Mt Kilimanjaro Application

This application form is used by the Global Volunteer Network to assess your suitability for the program. Please take the time to fill out the form thoroughly, telling us about any skills and experiences that specifically relate to the program that you wish to volunteer for.

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

Your General Details

Your Name

Date of Birth

Gender
Male Female

Nationality

Your Contact Details

Street address

State/Province/County

Post/Zip code

Country

Phone (home)

Phone (work)

Fax

Email address (please check)

Alternate email address

Education and Experience

Highest qualification

Other relevant qualifications and skills

Work and travel experience

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.

Trekking

Please rate your level of fitness
Poor - Cannot comfortably hike for 3 hours, including uphill and downhill elements
Average - Can comfortably hike for 3 hours, including uphill and downhill elements
Good - Can comfortably hike for 5 hours, including uphill and downhill elements

What is your interest in the Kilimanjaro trek?

Do you require any further information? Please state.

Other

How did you locate our website?

Specifically:

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

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Kilimanjaro Between January 13-23 2008, GVN is offering a hike to raise funds for the Shelter Childrens Home in Massailand, Kenya. > Read More	Useful: Newsfeeds \| Terms of Service & Privacy \| Insurance \| Carbon Offset \| TEFL \| Lives That Matter © 2000-2007 Global Volunteer Network
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