YOUTH DEVELOPMENT& AGED WELFARE FOUNDATION
BOX.SD94 STADIUM,ACCRA
GHANA
TELE:+233-27-743-7102
FAX:+233-21-688133/253348
Work camp Application Form
I N S T R U C T I O N S F O R P R I N T I N G A N D S E N D I N G T H E A P P L I C A T I O N
Please print out the application found below. Either print out the entire page, YOUTH DEVELOPMENT &AGED WELFARE FOUNDATION via post or fax to the address at the bottom of the form.
DON'T WORRY ABOUT LESS THAN PERFECT PRINTING RESULTS!!
1. Name _________________________________________________________________________________
Present Address _________________________ Permanent Address _________________________________
_______________________________________ __________________________________________________
_______________________________________ __________________________________________________
Telephone ______________________________
Telephone ________________________________________
Dates at this address _____________________
E-mail address ______________________________________________________
2. Date of Birth ____________________________
Place of Birth _____________________________________
Nationality ______________________________
Passport # _______________________________________
Occupation _______________________________
3. Emergency Contact: Name _________________________________________________
Address and Telephone _____________________________________________________
_____________________________________________________
4. Languages: Speak Well _____________________________________________________
Speak some ______________________________________________________
Understand ______________________________________________________
5. Special Health/Other Needs ______________________________________________________
_____________________________________________________________________________________________
6. Past Volunteer Experiences (indicate the country, year, and type of work)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
7. General skills
_____________________________________________________________________________________________
______________________________________________________________________________________________
8. Workcamp Choices, ranked in order of preference:
9. Types of projects most preferred (number top four choices according to preference)
· ___ Teaching
· Service-learning -projects.
AgedWelfareProject
· Poultry farming projects.
. Farming
10. Please describe briefly why you wish to take part in a volunteer project:
____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I accept the conditions of participation according to the program of this organization
Signature _________________________________
Date ____________________________________________
This completed form should be sent to:
KENNETH OBENG ERIC
YOUTH DEVELOPMENT & AGED WELFAREFOUNDATION
BOX. 8171 ACCRA-NORTH
GHANA
Or by fax to: +233-21-253348/688133