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As soon as we have received your completed form we will get in touch to arrange an informal meeting.

Please note that you are not committing yourself by completing this form or by meeting us.

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All fields marked with a * must be completed.


Personal Details

Full Name*
Date of Birth*
Home Address*
Landline Number
Email*
Mobile Number*
Parent/Next of Kin Contact Details
If making a joint application, indicate their name(s)

About You

Interests (including sports, art, dance, hobbies)
Social and voluntary work undertaken, positions of responsibility held
Previous social or voluntary work experience isn't necessary, but if you do have any, please give brief outline.
 
     
     
 

Education

Present Role (e.g. student / work position)*
School/Colleges/Universities attended with dates and qualifications gained
Other qualifications, eg Duke of Edinburgh, first aid, professional qualifications
Please detail any languages you speak and to what standard

Placement Information

Choice of Project*
Second Choice of Project
Preferred Leaving Date
Preferred Duration of Stay
How are you proposing to raise money to pay for your project? We can provide advice about fundraising, please let us know if you wish to discuss this.
Please write a short personal statement of no longer than 200 words explaining why you would like to do a project with Outreach International and why you would be suitable.*
How did you find out about Oureach International?
e.g. search engine, other online site, word of mouth, YouTube, Facebook
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