Application Form Internship





ALLES IN HET ENGELS INVULLEN GRAAG

Your Details

First Name*:Surname*:
Sex: Date Of Birth:
Nationality:
Passport no:Expiry Date:
What is your usual occupation?
What qualifications do you hold?

Contact Details

Address*: (where you would like us to send all the information to)
Post code*:City*:
Country*:
Phone (work):(home):
May we call you at work?
Mobile:
E-mail Address*:
Please advise us if any of these details change prior to your departure

Emergency Contact

Name:
Relationship to you:
Address: (if different from applicant's)
Post code:City:
Country:
Phone(work):(home):
Mobile:
E-mail Address:

Your Internship Program

Which project would you like to join for your internship?
What will the duration of the internship at the project be?
Start date:
Is this approx or the actual date you would like to start your internship?
Will you be doing any independent travel before or after the internship?
If so, please give us some brief details of your arrangements:
 
Do you intend to do this internship with another applicant?
If so, could you please provide us with their name:
Please give your reasons for applying to join this specific project for an internship. What do you hope to gain from the experience?
 
Could you specify what you intend and/or expect to learn from this internship?
 
What are the demands from your school / college / university regarding this internship?
 
Do you have any special wishes or demands regarding your internship, which would mean that the project leader would have to adjust their program on your behalf?
 
Would you like us to help arrange your international and internal flights?
(We are unable to book them for you but we can help to find you the best deal possible)

Health and Fitness

Do you have any medical condition or anything that we should be aware of medically?
If so, which:
Are you on any prescription drugs or medication?
If so, which:
Do you have any dietary requirements (e.g. vegetarian) / allergies?
If so, which:
How would you describe your fitness?

If Joining the Equine Sanctuary (otherwise just skip this part)

(The information enables us and the Equine Sanctuary Project Leader to find the best match between horse and student possible. It is not used as a selection process, provided you weigh less than 75 kg)
Your Height (cm):Your Weight (kg):
I am able to groom and tack up:
I am able to mount and dismount:
I am able to control a horse at a walk:
I am able to control a horse at a trot:
I am able to control a horse at a canter:
I am able to control a horse at a gallop:
I am able to stop a horse from any pace:
I am able to jump:
Do you have experience of riding over rough terrain?
Do you have any medical condition or disability that may affect your ability to ride?
If so, please provide us with brief details
 

A bit more about you

Please introduce yourself to us by telling us a bit about your interests, previous travel, language skills, first aid and any other relevant information or qualifications which may be useful
 
Please tell us if you have any queries or concerns about the project that you are joining, so that we can provide you with further relevant information if necessary.
 
And finally, please can you tell us where you heard about Kameleon?
Ik verklaar hierbij dat de door mij verstrekte gegevens stellig, correct en zonder voorbehoud zijn. Ik ben ervan overtuigd dat ik medisch gezien in staat ben om naar Zuid-Afrika te reizen en deel te nemen aan het project.
Door aanmelding ga ik akkoord met de voorwaarden van Kameleon Adventures (te bezichtigen op onze website. Indien gewenst beschikbaar op papier)
Nadat we je boeking hebben bevestigd en jij de aanbetaling hebt voldaan, sturen we je Kameleonís Pre Departure Pack toe. Om papier en inkt en dus milieu te sparen en de programmakosten zo laag mogelijk te kunnen houden, ligt onze voorkeur bij het versturen van dit informatieboekje op cd-rom. Zo kun je ook zelf kiezen of je bepaalde bladzijden wilt uitprinten en meenemen, en hoef je niet alles mee te sjouwen! Maar we willen jouw wensen voorop zetten. Daarom verzoeken we je jouw voorkeur in te vullen:
*** KAMELEON ADVENTURES *** CHANGING THE FACE OF EXPLORATION ***