In which country? Please select... Argentina Australia Brazil Bolivia Brunei China Ghana Guatemala India Kenya Malaysia Malawi New Zealand Peru Russia South Africa Sri Lanka Tanzania Thailand Zambia Zimbabwe Other

Full Name*:     
E-mail*:        

Which Extras Project or Course would you like to do? Please select... 1-Week Mandarin Course (China) 1-Week Swahili Course (Kenya) 1-Week Bush Survival Course (South Africa) 1-Week Language Course 20-Hour Language Course 40-Hour Language Course Surfing Lessons (Australia) Martial Arts Course (Shanghai) Meditation Retreat (Sri Lanka)

Would you like to do a SECOND Extras Project or Course?          Please select... 1-Week Mandarin Course (China) 1-Week Swahili Course (Kenya) 1-Week Bush Survival Course (South Africa) 1-Week Language Course 20-Hour Language Course 40-Hour Language Course Surfing Lessons (Australia) Martial Arts Course (Shanghai) Meditation Retreat (Sri Lanka)

Preferred Dates of the EXTRAS Project or Course
Please choose the dates you would prefer and we will contact you to confirm availability. [Some of the extra courses or projects will run during your placement (for example, some language courses), in which case you won't need to enter dates. Others will be full time for a short period, like a week, in addition to your project.] 
From (approx. date)     
To (approx. date)         

If you have any comments or questions, please enter them here: 

IF YOU ARE ALREADY A TRAVELLERS VOLUNTEER, PLEASE SKIP TO HERE.  

IF YOU ARE NOT A TRAVELLERS VOLUNTEER, PLEASE ALSO COMPLETE THE QUESTIONS BELOW.

Telephone No:   
Mobile/Cell:            
Your Address    
                
                
                
Nationality:    
Date of Birth   
Place of Birth  
Passport No. (can be submitted later)
Male or Female?  Please select... MaleFemale     
Do you hold a student card?    Yes       No
Name of a Referee
Referee's Address
                 

EDUCATION DETAILS
1.  Are you currently a student?  Yes    No
2.  At date of your departure will you be: 
        A university graduate
        An undergraduate
        In your Gap Year
3.  If a graduate/undergraduate, which University? 

4.  What Subject? 

5.  If you are in your Gap Year, what school do/did you attend?
 
6.  And what is your proposed university

7.  Would you teach a second subject if needed (e.g. geography, maths, music, sport)?     Yes       No
8.  If yes, which subject? 

9.  Do you have any other skills which you could teach?

10. Please give a brief description of your experience (or you can send us a CV later if that is easier).

GENERAL INFORMATION DETAILS:
1.  Would you like to travel with a friend who is also doing a 
    Travellers placement?   Yes       No
2.  If yes, which friend/s? 

3.  Do you have any handicaps or disabilities?
4.  Do you have any special dietary preferences (e.g. vegetarian)? 

5.  Please list your hobbies/interests: 

6.  What do you most hope to gain from your placement?

7.  Where did you FIRST hear about Travellers? (Please be as specific as you can)

8.  Where did you FIRST hear about our WEBSITE?

Thank you. We will contact you very shortly.

• Cheques should be made payable to "Travellers" and sent to:
       7 Mulberry Close
       Ferring
       West Sussex, BN12 5HY
   

• You can also pay by Credit Card and in the interests of security, we will telephone you for your card details.