The undersigned applies for admission to Volunteer Nepal! beginning in

  February   April   August   October     for     months.
Full Name
Present Address
Tel
Fax
E-mail
Permanent Address
Date of Birth
Sex
Nationality
Passport No.
Name of Parent/Guardian
Parent Address
Tel
Fax
E-mail
Academic History
Current Occupation
Work Experience
Special skills

Volunteer Interests:

Please check all fields in which you might like to volunteer:

Teaching:
    Secondary Lower secondary Primary

    Women's Issues  Environment Disabled persons

    Other    
Please keep in mind that while we try to accommodate each volunteer's interests, placements are made according to the volunteer's skills and work experience, and the current needs of host organizations. Special experience and educational background is needed to volunteer in Women's Issues, Environment, Disabled persons and other, but not necessary for Teaching.

In what type of setting would you prefer to be placed (check one/more):

a. Urban
City, with modern facilities (email, fax, and phone facilities, public transportation, variety of modern shops and restaurants, etc.), and modern families.
b. Semi-urban
Small town, limited facilities (phone and pharmacies available), more traditional families and communities.
c. Rural
Village, very limited facilities (electricity and public phone may be available), very traditional & conservative families and communities.

Where did you hear about Cultural Destination Nepal?

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© 2004 Cultural Destination Nepal. All rights reserved
GPO Box 11535, Dhapasi, Kathmandu, Nepal
Tel: +977-1-437 7623, 437 7696    Mobile: 981034651    Fax: +977-1-437 7696
E-mail: cdnnepal@wlink.com.np

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