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International Volunteers for Social Development Association (DaLaa)86 Petkasem 43 Rd.Hat YaiSongkhla 90110 Thailand +66 74 266 286dalaa-dalaa.thailand.main2@(Member of CCIVS and NVDA since 2007)Please add your pictureRegistered Association No. 9/2551DaLaa Outgoing Application FormPersonal detailsFull Name in EnglishFull Name in ThaiAge:Current Address:Telephone:Mobile phone:Email address:Date of birth:Gender:Nationality:Passport number:Date of IssueDate of ExpiryPresent Occupation/studies:Remarks on health/ special needs:(illness, diet, disadvantage, allergy)Emergency contactName:Relation:Address: Tel. number(s):Language Competency SpeakingWritingReadinggoodfairslightgoodfairslightgoodfairslight1. English2.3.4.Other skills: Project code & CountryName of host organisation:___________________________Project code:Date and total period:Country and Place:Theme of project:If my first choice above is fully booked, my second choice is:Project code:Date and total period:Country and Place: Theme of project:Motivation and ExpectationMy motivation for joining the project is:I expect: My contribution to the project is: Experience with voluntary work1. Are you doing any voluntary work in Thailand? (Or have you done this?) (If so, please write down: what kind of voluntary work, where, for how long.)2. Have you joined any of DaLaa’s projects? (If so, please write down: which camp, where, when.) If not, please share with us why you are interested in voluntary service activities3. Have you joined any international work camp abroad before? (If so, please write down: where, what kind of project, when, for how long.) Remarks / QuestionsIf you have any remarks or questions for DaLaa/host organisation, please write them down. Procedure DaLaa will send your application form to the hosting organization. We will check if there are still places in the work camp of your choice. When DaLaa gets confirmation of the hosting organization, we will let you know.All information of the camp will be send to you by email. Thank you for your application, with kind regards, DaLaa Team!(For DaLaa)Date of receiving: ………Who contact DaLaa Member: When:Send to hosting organization? When:Reply: …………………….Other remarks: ................
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