Volunteer Form - Himalayan Education Lifeline Programme

Without committing myself at this stage, I would like to find out more about volunteering with HELP. I am particularly interested in working in . I confirm that I have read the details set out on the volunteer page. I believe I could cope with life in the unfamiliar socio-cultural environment of a Himalayan village, and I understand what my financial commitment will be. I can offer at least six weeks of my time.

* indicates the boxes you must complete

Personal details

Title*

First Name*

Last Name*

Sex*
MaleFemale

Date of birth*

Marital status

Number of dependents

N.B. We cannot accept accompanying dependents

Nationality*

Email*

Please provide at least one phone or Skype contact*
SkypeID (our preferred method of contact)

Landline phone

Mobile/cellphone

When to phone*

Give two or three dates and time (in your location) - please be specific and don't say “any time”. Weekend times are possible

Street address*

City*

Country*

Availability for volunteering from*

to*

Have you any medical condition for which your are receiving treatment? If so please detail*

If none, please write "NONE"

Have you ever been banned from working with children?*
YesNo

Have you got a criminal record?*
YesNo

Work background

Skills*

Qualifications*

Work Experience*

Names and e-mail addresses of TWO referees

N.B. We will only contact your referees after speaking with you and obtaining your permission.

Any other comments or queries?

How did you find out about HELP?

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Disclaimer
The purpose of the HELP website, and also the pre-departure briefing materials we send to prospective volunteers, is to provide information and views to help prospective volunteers form their own judgements about travelling to or working in a particular country. While every care is taken in preparing the information and advice in our website and briefing materials, HELP does not assume any responsibility, including legal responsibility, to those who may choose to take it into account when making any decisions relating to a particular country. The directors of HELP cannot accept liability for injury, loss or damage arising in any respect of any statement contained in the HELP website or in its pre-departure documentation.

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