Académique Documents
Professionnel Documents
Culture Documents
day
/ month
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I. Personal Information
Last Name (Surname)
(exactly as shown on your passport)
First Name
Middle Name(s)
Nationality
Male Female
E-mail Address(es)
month
day
year
month
day
year
Dates Attended / /
month / year month / year
Degree Earned
Date Completed
month / year month / year month / year
month / year
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month / year
/ /
/ /
Dates ----/
Language of Instruction
Country of Instruction
month / year
month / year
month / year
Dates of Employment
Month
year
--
year
Duties: Please concisely describe your current job-related responsibilities and accomplishments
V. Applicant Certification
I, certify that all information provided on this
Applicants Signature
Date
is a staff member at
and is under my supervision. I agree to his/her registration with CASC for volunteer programme.
Name of Institution
Date
DECLARATION If I am accepted to CASC volunteer programme, I agree to adhere to the arranged program, to devote my time and attention to my work to conform to the CASC internal regulations and procedures for the duration of my stay. I agree to conform to all laws of Kenya. Furthermore, I certify that I understand and agree with the following policies of the volunteer Program: I. Conditions for Termination of Volunteer Programme: CASC reserves the right to terminate the volunteer program of those participants who: A. Fail to show sufficient interest in their work during the volunteer programme; B. Have severe mental or physical health problems. C. Conduct themselves in a manner prejudicial to the program or to the laws Kenya. D. Have falsified information on the registartion
II. Financial Support: The applicant is aware that CASC is not providing any support in travel, emergency medical insurance, lodging and food. All the costs in respect to volunteer's stay in Kenya will be borne by the participant. CASC will provide logistics to the participant. III. Health and Insurance: Whereas health insurance is not a requirement for this volunteer programme, it is advisable that the participant procures a travel and a health insurance for the period of stay in Kenya. IV. Debts and Obligations: The participant will be responsible for all debts and financial obligations incurred while in Kenya Signature below indicates understanding and agreement of the above terms and conditions.
Applicant's Signature
Date