Application Form Wildlife Volunteer Projects

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*:
State/County (if applicable):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 Travel Program

Duration of Program:
Start Date:
Is this approx or the actual date you would like to start your (first) project?
Will you be doing any independent travel before or after the project(s)?
If so, please give us some brief details of your arrangements:
 
Which project/s would you like to join? And for how long? If you have a preference in order of projects, we will try to organise this for you, however, we cannot guarantee that places will be available in your chosen order.
Preference for certain order: (if Yes, please write the names and duration of projects in the order you would prefer to join them)
Project: Duration in Weeks
Project: Duration in Weeks
Project: Duration in Weeks
Project: Duration in Weeks
Do you intend to do this program with another applicant?
If so, could you please provide us with their name:
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, any previous volunteering experiences, language skills, first aid and any other relevant information or qualifications which may be useful
 
Please give your reasons for applying to join the project/s. What do you hope to gain from the experience?
 
What are you currently doing? Working, studying etc.
 
Please tell us if you have any queries or concerns about the project/s 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?
To the best of my knowledge, the information given on this form is correct. I believe I am medically fit enough to travel to and work in Southern Africa.
On application I hereby agree to the terms and conditions of Kameleon Adventures (available to view on our website and by hardcopy on request)
After we’ve confirmed your booking and you’ve paid the deposit, we will send you Kameleon’s Pre Departure Pack. In order to save paper and ink and thus the environment and to keep the program costs as low as possible, we prefer to burn the information booklet of this Pack on cd-rom. This way, you can also choose for yourself whether you want to print and bring along certain pages instead of having to carry the whole bunch! But of course your wishes are the most important to us. Therefore, please fill out your preference:
*** KAMELEON ADVENTURES *** CHANGING THE FACE OF EXPLORATION ***