Online Application

Booking Information

Volunteer Project *

Start Date *

Volunteer Period *

Comments

Why do you want to volunteer in South Africa?

What can you give to the program?

What do you want to achieve from this volunteer program?

* Please note that rates changes due to currency fluctuations

† PLEASE NOTE: Start dates are on Mondays for the following projects:

And on Thursdays for the following projects:

The projects that start on Thursday includes a free 3 day orientation and tour of Cape Town. Work starts on the following Monday morning.

‡ Note that End Dates are Sundays

Volunteer Name *

Volunteer Surname *

Country of Residence *

Physical Address

Telephone Number (e.g. +27123 123 1234) *

Cellphone Number (e.g. +27123 123 1234) *

Email Address *

Birthday (DD/MM/YYYY) *

Passport Number

Emergency Contact Person

Emergency Contact's Relation

Emergency Contact's Address

Emergency Contact's Phone Number

Medical Insurance Carrier and Member Number

Blood Type

Known Medical Conditions

Known Allergies

Current Medication

Verification Code *

Please enter the letters as they are shown in the image above. Letters are not case-sensitive.

Do you have adequate travel insurance for Africa?

Please tick the box if you want more information on travel insurance.