On Line Application Form to join an African Conservation Experience Project in South Africa

Please enter in all relevant information as accurately as possible. Where text labels are coloured red, if you fail to provide accurate info, the form will ask you to re-enter any missing or incorrect details but it will preserve any previously entered info.

If you can't fill out all the details staight away, you can click the "Save Details For Later" button and come back and finish the form at any time.

A. Your Personal Details
Forename:
Surname:
Gender:
Birth Date (Minimum Age 17):
Nationality:
Your Contact Information
Address:

County/Area:
Postcode/Area Code:
Country:
Email Address:
	(I Don't Have An Email Address)
Daytime Phone Number:
Evening Phone Number:
How did you find out about us?
B. Your Project Choices
First Choice
Choose a project:
Month and Year of Commencement:
Duration of Stay:	Weeks
Second Choice
Choose a project:
Month and Year of Commencement:
Duration of Stay:	Weeks
If there's anything else you want to say that is relevant to your choice of projects, please add it below: You can split your placement between projects if you prefer.

C. More About You. What Are You Doing Now?

D. Conservation interests Please give details of any projects, voluntary work, membership of organisations etc.

E. Special interests If you are working on any special research projects, post-graduate thesis, conservation related or not, or intend following a particular career please tell us about it.

F. Your strengths and weaknesses What do you consider to be your best and worst points? Try to be objective we all have weaknesses!

G. Hobbies and interests Don't write a list please take one or two of your hobbies and briefly explain why you like them.

H. Your motivation Why do you want to work in Southern Africa? What do you expect to get out of it? What can you contribute?

I. What will it be like in Southern Africa? If you are successful with your application what living and working conditions do you expect when you get there?

J. Funding How will you be funding your trip? Yourself? Parents or relatives? or through fund raising?

K. Expeditions and outdoor interests Please give detail of any expeditions, adventure courses etc, successfully completed. E.g. Duke of Edinburgh, Outward Bounds etc.

L. Medical and health Are there any medical and health issues which may affect you while you are abroad and which we need to know about? Any dietary requirements? Allergies?

M. Anything else Is there anything else you want to add?

Important! Please tick this box if you agree to the following:
	To the best of my knowledge, the information given on this form is correct. I believe I am medically fit enough to travel to and work in Southern Africa.

African Conservation Experience: On Line Application Form to join an African Conservation Experience Project in South Africa

On Line Application Form to join an African Conservation Experience Project in South Africa

Untitled Document - African Conservation Experience Website

A. Your Personal Details

Your Contact Information

B. Your Project Choices

First Choice

Second Choice

C. More About You. What Are You Doing Now?

D. Conservation interests

E. Special interests

F. Your strengths and weaknesses

G. Hobbies and interests

H. Your motivation

I. What will it be like in Southern Africa?

J. Funding

K. Expeditions and outdoor interests

L. Medical and health

M. Anything else

Important!