Vrijwilligers Aanmeldformulier Formulier

Wil je je aanmelden om vrijwilligerswerk in Israël te gaan doen?

Als je onderstaand aanmeldformulier invult, nemen we zo spoedig mogelijk contact met je op.

(Graag in het Engels, zodat we de informatie eenvoudig kunnen doorgeven aan de organisatie in Israël)

Contact Details

Personal Details

Contact Person

Education

Preferences

Other Information

Contact Details

First Name*

Last Name*

Email*

Phone*

Street and Number

Postal Code

City

Country

Personal Information

Date of Birth* Gender*

Nationality

Passport Number

Passport valid till*

Contact Person in case of Emergency

First Name*

Last Name*

Email*

Phone*

Relations*

Education

I have graduated from:*

Major Specification*

Languages

English*

Hebrew*

Russian

French

Volunteering Preferences

Start Date*

End Date*

First Choice*

Second Choice

Preferred Organisation (name) Preferred Region

Other Information

Do you have any medical condition that may affect your carrying out volunteer service?*

Have you been convicted of any criminal offence in the past?*

Acquired skills or hobbies that would be useful in your volunteer service:

Do you have first aid or paramedical qualification?

Have you had any previous employment or volunteer experience?

Additional Remarks Hierbij ga ik akkoord met het privacybeleid