Volunteer Application Form

This volunteer application form assists us in the process of recruitment and screening of volunteers by gathering information about them. Every volunteer’s experience is unique and will be useful in our program.

Full Name (as on passport) *

First

Last

Preferred Name / Nickname (if any):

Email *

Date of Birth (DD/MM/YYYY) *

GenderChooseFemaleMale

Nationality *

Phone Number (with country code) *

Home Address *

Emergency Contact ( Full Name, Relationship, Phone, Email) *

Preferred Start Date (DD/MM/YYYY) *

Preferred duration *--- Select Choice ---1 Week2 Weeks3 Weeks4 Weeks5 Weeks6 Weeks7 Weeks8 Weeks

Are you applying as an individual or group? *--- Select Choice ---SoloFamilyGroup

If group/family, provide names & size:

Current occupation / field of study / Relevant skills or experience *

Highest level of education completed / Languages spoken *

Why do you want to volunteer with Ssamba Foundation? *

have You /

Do you have any medical conditions / allergies (food, medication, mental, etc.) / dietary restrictions / mobility limitations/ we should know about? *

Would You Like to Add On- a Safari or Tour to your Volunteering ExperienceYesNo

Declaration: I confirm that the information provided is true and accurate. *

• Yes
• No

Submit Application