Volunteer Application Form - Ssamba Foundation

Date of Application *

Name *

First

Last

Email *

Sex (Gender) *

Date of Birth *

Nationality *

Age *

Phone Number *

Address *

Volunteer Program of Interest *

Ideal Start Dates for Volunteer Trip *

Other Preferred Start Dates- Please State

Preferred number of weeks *

Personal Background (Introduce yourself: Education/Employment/ Work & Travel) *

Reason(s) for wanting to volunteer *

Are you interested in Tour/Safari during your volunteering period?

Yes
No
Not Sure

If Yes, Popular Weekend Options. For more options please email us.

Jinja Day Tour ( R. Nile Source, Rafting etc)
Greater Mukono Discovery Tour
Kampala City Tour
Sipi Falls & Mbale Tour
3 Days Lake Mburo N.P Safari
3 Days Queen Elizabeth N.P Safari
3 Days Murchison Falls N.P Safari
3 Days Kibale N.P Safari (Chimp Tracking)
3 Days Bwindi Imp. N.P (Gorilla Tracking)

Preferred Accommodation Type *

Emergency Contact Person (Name, Relationship, Email & Phone) *

I Agree that I have read & Understood All the requirements to Volunteer with Ssamba Foundation *

Yes
No
I need More Information

VOLUNTEER REQUIREMENTS: • You must be over 18yrs • You must speak some English (you don’t need to be fluent) • A copy of your passport with 6+ months validity • Placement commitment fee of USD$200 • Criminal Record, Background Check report or Police Statement • We recommend travel/life personal insurance • You must commit at least 1 weeks’ minimum (longer stays are much appreciated). • You must be Sociable, Energetic, Positive & Fun!