Slum Aid | Volunteering

A project of New Millennium Network Ltd (Regd Charity 1063494)

SlumAid

44 District Road, Wembley HA0 2LG
Tel: 07860 899 564
www.slumaid.org

Application Form/Contact details

Full name *
(as it appears in your passport)

Email address *

Email address 2 (if any)

Home Telephone *

Mobile

Address Line 1 *

Address Line 2

Address Line 3

Postcode

Nationality

Sex

Date of Birth

Please tell us about any medical condition - past and current - that would affect you participating in the project and/or any special dietary requirements or allergies you may have.

If selected when would you be able to travel?

How long do you want to go for?

Do you have any special skills (e.g. medical. Nursing, teaching) that would be useful to our partner organisations?

Referees (Please provide contact details for someone who can act as a referee for you)

Name
Position and relationship to you
Contact Phone No.
Contact Email
Contact Address

Alternate referee

Name
Position and relationship to you
Contact Phone No.
Contact Email
Contact Address

Next of Kin/ Contact in case of emergency

Name
Relationship
Contact Phone No.
Contact Email
Contact Address
Enter Verification String

Terms and Conditions

Please read the terms and conditions before completing the application. You must understand everything written here before becoming a volunteer.

1. The participant is required to complete the application form and submit it together with a deposit of £10 to secure a placement. The sum will be refunded if a replacement is not offered.

2. Your acceptance onto the Project is on the understanding that you realise that you will be living and working with a partner NGO in a developing country. This could be at times uncomfortable. You accept that services and facilities such as running water, electricity, air conditioning and other home comforts that you are used to at home may not be available overseas. You agree to perform whatever work is reasonably assigned to you by the NGO.

3. We will ensure that your living accommodation is of a reasonable condition by local standards but you must accept that it is impossible for us to guarantee that accommodation will be to the standards you are used to at home.

4. You must agree to abide by the laws for currency exchange and drug regulations of the country you are visiting. You also agree to abide by the terms and conditions of all carriers concerned.

Liability

5. Slumaid Project will not accept any responsibility for any illness, accident or loss, weather conditions, fire, civil or military disturbance, criminal activity, industrial action, border the closures, government intervention or force majeure. These conditions are beyond the control of Slumaid Project.

6. Please note that there is no free health service is some of the locations in which the Project works and we cannot guarantee your personal safety or health.

7. Where necessary you may have to take out and display proof of vaccinations.

8. We would strongly advise you to take tablets for malaria.

Insurance

9. It is compulsory to obtain adequate travel insurance to cover personal accident, medical and hospital expenses and repatriation. We advise you to take it through Campbell Irvine Ltd.

I agree to the above terms and condition for volunteering on the SlumAid project.

Signature

Date : 20 May 2012

Served By GCW