VOLUNTEER EXCHANGE FORM (please write in capitals and answer all questions)

7. Occupation:_an English teacher in the English language school of Valeriy Solovov, Dnipropetrovsk, Ukraine____________________________________________________________
________________________________________________________________________________
8. Past volunteer experiences/general skills (indicate the country, years and type of work):
--------------------------------------Conc. 104 Saint-Saturnine Normandy 4.08-28.08------------------------------
9. Workcamp choices according to reference:
 
 

Code Name Date	Code Name Date
SJ20 SAINTES (Poitou Charentes)07/07- 28/07/2001	----
U/62 Grand Atelier 1  09/07/2001-27/07/2001	----
U/50 Clermont le Fort 10/07/2001-31/07/2001	----

10. Book another camp for me if all above are full:   YES   NO
Date available_01. July – 15 August_______ Country/region preferred___ Italy / France_
11. Type of project most preferred:

12. Why do you wish to take part in a volunteer project?
____I would appreciate the opportunity to realize my wish to work for the integration of Europe through communication with people from different countries and cooperative work

I liked my previous year volunteer experience and did love to keep on to work for the integration of Europe trough communication and work with people from different countries. 

13. General remarks I’d prefer to be in the team of people about my age

I accept the conditions of participation according to the programme of this organization and fully understand and accept my responsibility to obtain health insurance for the duration of my travel.

Signature ____________________________           DATE______8.05.2000____________