CHARITY PEARL THE GAMBIA
VOLUNTEER APPLICATION FORM
Please complete the application form, sign it and send it to our e-mail at [email protected]
A deposit of 30% is required with your application. We will immediately acknowledge receipt of your application
and deposit payment.
Your personal data
First name:
Last name:
Last name:
Gender:
Address:
Temporary address (if different from above):
Date of birth:
Place of birth:
Passport number:
Nationality:
Telephone number (int):
Emergency contact:
Preferred start date:
Duration of stay:
Email:
Tell us more about your yourself & your traveling
Duration of your stay (please mark):
▪ 1 week / 7 days
▪ 2 weeks / 14 days
▪ 3 weeks / 21 days
▪ 4 weeks / 28 days
▪ 8 weeks /56 days
▪ 12 weeks / 84 days
▪ Other __________
▪
▪
▪
▪
▪
▪
Fees (FYI)
199€
319€
439€
559€
1039€
1519€
Fees include:
▪ Accommodation in secured compound
▪ Electricity & water supply
▪ Free Wi-Fi
▪ Airport pick up
▪ Free local lunch
▪ 24/7 on-site support
▪ Information package
▪ Preparatory Information
▪ Orientation and village tour
▪ Gambian SIM card
▪ Volunteer T-shirt
▪ Mentoring
▪ Certificate at the end
▪ Cooking course (4 hours)
▪ Wolof (tribe language) course (10 hours)
Prices valid until 30.9.2017
When you will join Travel as a volunteer program, you expect to be (please mark):
▪ Student
▪ Employed or self-employed
▪ Unemployed
▪ Retired
▪ Other ____________________________
Please select the area you wish to volunteer in:
 Education (teaching)
 Healthcare
 Sports and Dance
 Film & Photography
 Arts & Fashion
 Environment & Community
 Animal projects
 Music school
 Religion centers
 Fundraising
 Other (please describe)_________________________________________
Please select what type of volunteering you are applying for:
 Individual volunteering (solo traveler)
 Couple volunteering
 Honeymoon volunteering
 Family volunteering
 Group volunteering
 Other (please describe) _________________________________________
Do you have any medical issues?
Any special diet or medication?
Any current or past disabilities or infirmities, physical or mental?
Have you ever been convicted on any criminal or traffic offence, which resulted in a term of
imprisonment, or are you presently facing charges for a criminal or traffic offence which may result in
a term of imprisonment offence?
Your past working/volunteering experiences that would be relevant to the volunteer role you are
applying for:
Which languages do you speak?
Why do you want to volunteer with our organization?
What you hope to gain from your experience with us?
What hobbies, skills, special interests or qualities do you have that may be relevant to the volunteer
role you are applying for?
Do you have any special needs you would like to share with us?
Any other comments:
References:
Please supply us with the names of two referees (non-relatives)
Full Name:
Address:
Email:
Telephone:
Full Name:
Address:
Email:
Telephone:
DECLARATION
I agree to the Charity Pearl - The Gambia processing and retaining the personal information contained on this
form for any purposes connected to my application or my health and safety while on the premises. I also give
Charity Pearl - The Gambia permission to inquire into my references and volunteer history. I further understand
that a criminal background check will be conducted.
I hereby hold Charity Pearl - The Gambia harmless from any liability, whether civil or criminal, that may arise as
a result of the release of this information. I further hold harmless any individual, agency, business or corporation
that provides information or documents to the above named Charity Pearl - The Gambia.
As a volunteer, I agree to abide by the rules and policies of Charity Pearl - The Gambia and by The Gambia
laws. I also agree on maintaining strict confidentiality with information to which I have access while performing
my duties.
Signature:
Date:
Your details may be kept on a volunteer database and we may use the data to keep you up to date with other
volunteer opportunities and Charity Pearl - The Gambia news.
Please return to:
Charity Pearl The Gambia
P.O. Box 2902 Serrekunda
The Gambia, West Africa
[email protected]