Africatrust Online Application Form

  1. First Name

  2. Date of Birth

  3. Adress of School

  4. Home Address

  5. Email Address

  6. Contact Telephone

  7. Type of Program Applying For 

    1.  Leaving on 13th January, 2005    *** Returning on 13th July, 2005 [ 24 weeks]
    2. Leaving on 8th September, 2005  *** Returning on 14th December, 2005 [12  weeks]
    3. Leaving on 12th January, 2006    *** Returning on 12th July, 2006 [ 24  weeks ]
    4. Leaving on 14th September, 2006  *** Returning on 13th December, 2006 [ 12 weeks]
    5. Leaving on 11th January, 2007    *** Returning on 11th July, 2007
    6. Leaving on 13th September, 2007, *** Returning on 12th December, 2007

  8. Have you been to Africa before?    Yes      No

      If You Have Been To Africa Before, 
    1. Which country did you visit ?
    2. How long did you stay ? 

  9. What are your reasons for volunteering
  10. Do you agree that successful volunteers
    are to pay for the cost of their visit          Yes      No

    The Payment Schedule For The Programs Below
    [Refer to the to program for the details of the cost]

    A

    B

    September,2004    $2,500.00 June,2005      $1,500.00
    December,2004     $2,000.00 August,2005   $1,500.00
    Total                       $4,500.00 Total                $3,000.00

    C

    D

    September,2005    $2,500.00 June,2006      $1,500.00
    December,2005     $2,020.00 August,2006   $1,500.00
    Total                       $4,520.00 Total                $3,000.00

    E

    F

    September,2006    $2,500.00 June,2007      $1,500.00
    December,2006     $2,100.00 August,2007   $1,600.00
    Total                       $4,600.00 Total                $3,100.00

    These costs are only subject to changes in  U.K./ Ghana return air Flight costs.
    Changes will  be on this page.

    Do you understand that, in addition to the cost of stay,
    Volunteers will be committed to find donations
    [for projects in Ghana], from their family, friends,  or
    other sponsors/ donors.

    These will be at least  $ 1,000 for the January departures,
    and at least $ 750 for the  September departures.
    Volunteers shall have full control of  the disbursement of
    the donations.  

  11. Give the following details on your passport

    1. Nationality  
    2. Passport  No.
    3. Date of Issue 
    4. Place of Issue 

  12. Current Height

  13. Current Weight

  14. Do you suffer from any serious allergies or phobias   Yes    No

    Describe it if you suffer from any allergies

  • WHEN YOU HAVE COMPLETED THIS FORM
    CLICK THE SUBMIT BUTTON

    SUCCESSFUL
    APPLICANTS WILL ARRANGE FOR THEIR
    OWN VISAS AND PERSONAL INSURANCE
    IN THEIR HOME COUNTRY.

    Click here to "Submit" or "to clear and refill" the form