Step 1 of 6 16% Personal Details * are required fields Email* Enter Email Confirm Email SalutationSalutationMrMrsMissMsDrName* First Name Last Name Telephone number*Mobile Number*Gender*SELECT *MaleFemaleDate of Birth* Date Format: DD slash MM slash YYYY Occupation*Nationality*Address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How did you hear about us?*SELECT *Search EngineSocial NetworkTravel Abroad DirectoryFriend or ReferralProfessor or AdvisorPoster or AdvertisementFair or EventOtherSpecial dietary requirements (type none if none)* Emergency Contact * are required fields Emergency Contact Name* First Last Relationship*Emergency Home Phone*Emergency Mobile*Emergency Email* Enter Email Confirm Email Country* Programme Selection * are required fields Country of interest 1* CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Country of interest 2 CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Programme of Interest 1*SELECT *Kenya Community Outreach VolunteersLake Malawi Childcare & Development Volunteer ProjectLake Malawi Medical Volunteer ProjectLake Malawi Teaching Volunteer ProjectLake Malawi Teaching & Sports Volunteer ProjectRun the Warm Heart of Africa - Malawi Marathon 2019: 20/05/2019 - 26/05/2019South Africa Field Guide Course FGASA Level 1 - 55 daysSouth Africa Professional Field Guide Course - 1 yearSouthern Africa Safari Guide CourseSouthern Africa Trails Guide CourseSouth Africa Wilderness Adventure - 1 or 2 weeksSouth Africa 'African Angels' Independent School Volunteer ProjectSouth Africa Community Preschool ProjectSouth Africa Pre-vet Volunteer ProjectSouth Africa Wild Coast Schools ProjectTanzania Street Kids Sports Volunteer ProjectProgramme of Interest 2SELECT *Kenya Community Outreach VolunteersLake Malawi Childcare & Development Volunteer ProjectLake Malawi Medical Volunteer ProjectLake Malawi Teaching Volunteer ProjectLake Malawi Teaching & Sports Volunteer ProjectRun the Warm Heart of Africa - Malawi Marathon 2019: 20/05/2019 - 26/05/2019South Africa Field Guide Course FGASA Level 1 - 55 daysSouth Africa Professional Field Guide Course - 1 yearSouthern Africa Safari Guide CourseSouthern Africa Trails Guide CourseSouth Africa Wilderness Adventure - 1 or 2 weeksSouth Africa 'African Angels' Independent School Volunteer ProjectSouth Africa Community Preschool ProjectSouth Africa Pre-vet Volunteer ProjectSouth Africa Wild Coast Schools ProjectTanzania Street Kids Sports Volunteer ProjectPreferred start date* Date Format: DD slash MM slash YYYY If you’re unsure of the start date of your programme please select Day 1 of your preferred month of travel.Duration*SELECT *2 Weeks4 Weeks6 Weeks8 Weeks10 Weeks12 Weeks55 days1 Year Further info and experience * are required fields Please complete this section in as much detail as possible. This information will assist us in planning and arranging your programme activities and to assess your suitability for different types of volunteer work. For some placements we may also require your CV and/or copies of qualifications, for example if you will be volunteering at a hospital as part of your programme. Most recent qualification*Any other relevant qualificationsWhat is your motivation for joining one of our programmes and what do you hope to gain from the experience?*Please provide details of any experience and skills that are relevant to your chosen programme․ How do you hope to be an asset?*What are your expectations of the programme and destination that you have chosen?*Names of any other people you are travelling withDetails of any criminal record (type none if none)*NB. If volunteering with children or vulnerable adults you will be required to complete an enhanced DBS (criminal record) check before travelling.Would you like to be included in our mailing list?*SELECT *YESNO Medical form * are required fields Please mention below any previous or existing conditions that may be relevant to your application, involvement in or enjoyment of your chosen programme. If you answer yes to any of the below questions it will not necessarily affect your eligibility to join one of our programmes, as we will endeavour to accommodate any special needs or requirements that you may have. However, we do reserve the right to refuse your participation on medical grounds if we feel your safety or enjoyment, or that of the group, may be compromised. By applying to join one of our programmes you are accepting our booking Terms & Conditions and therefore warrant that you are fit and healthy to travel and take part in the activities involved. Are you generally in good physical condition?*SELECT *YESNOIf no, please explain below․ (Please mention any heart trouble and/or blood pressure problems; asthma, bronchitis and/or shortness of breath; diabetes; migraine; epilepsy and/or fainting attacks)․*Do you have any history or are you currently being treated for any psychological problems or emotional instability?*SELECT *YESNOPsyco History - please give details below*Do you have any allergies?*SELECT *YESNOAllergies - If yes, please give details here*Are you taking any prescription medications?*SELECT *YESNOprescription medications - If yes, please give details here*Have you had any injuries, diseases, ailments, or operations in the past 5 years?*SELECT *YESNOInjuries - If yes, please give details*Do you have any medical condition(s) that may be affected by conditions such as humidity, altitude or air pollution?*SELECT *YESNOPollution - If yes, please give details here*Is there any additional information (concerning medical conditions, physical or learning disabilities) that would be helpful for the in-country programme staff to be aware of?*SELECT *YESNOAdditional info programme staff Medical Agreement * are required fields In the event of an accident or illness while on the trip, I hereby give permission for qualified project staff to initiate medical treatment and to inform my next of kin and/or nominated emergency contact person in case of hospitalisation. To the best of my knowledge this is a true and accurate description of my medical history and current condition. I understand that I am responsible for informing Naturally Africa and its partners of any change in my medical condition, including pregnancy, which may arise between now and the departure date. I understand that failure to do so may invalidate my travel insurance or cancellation rights. We do not accept any responsibility or liability for your failure to disclose any relevant information. Failure to do so may result in the cancellation of your programme without a refund should these omissions come to light at a later date. I agree to these medical terms and conditions (Type full name here)* Terms and Conditions * are required fields I have read and agree to be bound by the Naturally Africa Volunteers booking terms & conditions (these can be found on our website at www.volunteerafrica.com/terms-conditions) and for my personal data to be used in accordance with the privacy policy (available at www.volunteerafrica.com/privacy-policy). I agree to these booking terms and conditions (Type full name here)*PhoneThis field is for validation purposes and should be left unchanged. Δ