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David Monari
P.O. Box 56834-00200 Nairobi
Tel. 254-723-727563
Email: monari [ at ] volunteerchallenge [ dot ] org

Please fill in the questionaire (Please note that ALL fields are required)

Please Note: Submit your application at least one month from the intended date of travel. To find out how much it the challenge costs, click here...

Date of Application:	Sex:	Male:	Female:
Name:	Age:
Telephone	Email:
Why do you want to volunteer your time abroad? (Give your reasons in point form)
Have you ever travelled abroad?	Yes No
Do you consider yourself adaptable & flexible?	Yes No
If yes, to which country?
Do you have any known health problem?	Yes No
Do you have a health insurance?	Yes No
Are you willing to take responsibility for your own health?	Yes No
What do you feel when you see pictures of destitute children on the TV screen?
Will you share your experiences with others?	Yes No
What is your profession?
What is culture?
For how long will you be available? (Starting date)