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Registration form

Internship
Name*

First nameLast name
E-mail*
example@address.com
Mobile phone*

Country codePhone number
Date of birth*

DagMaandJaar
Date
Address*

Street and house number

Straat en Huisnummer 2e regel

CityArea / province

Postal code
Status

SingleCoupleMarried
Religion
How did you find us?

Through a friend / family memberGoogleFacebookInstagramVia schoolOverig
Emergency contact person*
Name, phone number, e-mail
Your emergency contact is a*

ParentSiblingHusband/ boyfriendFriendOverig
Name of study*
Name and place of school*
Name and contact details of your internship coordinator from school*
Please add the name, job title, e-mail address and phone number of your internship coordinator
Project of your first choice
Project of your second choice
Preferred date of arrival
Indicate the preferred (around) date or week of arrival + year
Preferred duration of internship in weeks
I intend to come

AloneWith a friend / friends
In case of travelling together, name(s) of friend(s)
Optional additional comments
General personal introduction*
Please introduce yourself to your project and give some more information about yourself
Objectives for internship*
Why did you choose this particular project for your internship?*
What is your motivation for an internship in Africa?*
What kind of activities would you like to perform during your internship?*
What do you expect to be the greatest challenge for you during your internship?*
Which personal skills or competences do you have, that will benefit your internship?*
What kind of cultural differences do you expect and how do you feel about that?*
My English language skills are*

FluentGoodFairPoor
How are you going to prepare yourself well for your internship in Africa?*
Any additional comments or information from your side
Akkoord Algemene Voorwaarden: deze kan je vinden in de footer van onze website*

Ik ga akkoord met de Algemene Voorwaarden
Door te registreren bevestig ik dat ik akkoord ben met de opslag en verwerking van mijn persoonsgegevens door Doingoood Experience, zoals uitgelegd in het Privacybeleid. Per 25 mei 2018 is de Algemene verordening gegevensbescherming (AVG) van applicatie. Hierdoor moeten organisaties kunnen aantonen dat zij toestemming hebben gekregen van personen voor het verwerken van persoonsgegevens.*

Ja, ik geef Doingoood Experience toestemming om mijn gegevens te verwerken
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Registration form