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Vietnam - 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.

Name
Date of birth
Gender	Male Female
Nationality
Mailing Address
State (US Residents)
Post/Zip code
Country
Phone (home)
Phone (work)
Fax
Email address (please check)
Alternate email address
Highest Qualification
Other relevant qualifications and skills
Work and travel experience
Please state any health condition that you have, including allergies (it is important for us to be aware of any condition so we can be prepared in placing you)
How long would you like to volunteer for?
Would you prefer a orphanage or language centre placement
When would you like to go to Vietnam?
Do you have a particular interest in one of the program locations?
What is your interest in the Vietnam program?
Do you require any further information? Please state.
How did you locate our website?
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

Feature Fundraiser: Mt Kilimanjaro

In January 2006 we're climbing Mt. Kilimanjaro as our major fundraiser for the Ugandan Education Fund. Participants will have the opportunity to hike to the top of one of the most beautiful and prestigious mountains in the world, and funds raised will go towards building a school for AIDS orphans in Uganda. more >>