Registration form
Internship
Name
*
First name
Last name
E-mail
*
example@address.com
Mobile phone
*
-
Country code
Phone number
Date of birth
*
-
Dag
-
Maand
Jaar
Date
Address
*
Street and house number
Straat en Huisnummer 2e regel
City
Area / province
Postal code
Status
Single
Couple
Married
Religion
How did you find us?
Through a friend / family member
Google
Facebook
Instagram
Via school
Andere
Emergency contact person
*
Name, phone number, e-mail
Your emergency contact is a
*
Parent
Sibling
Husband/ boyfriend
Friend
Andere
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
Alone
With 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
*
Fluent
Good
Fair
Poor
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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