Application

AFRICA VOLUNTEERS NETWORK

Placement Application

Before you submit your application, read through this page,

choose a program:

Kenya:

5 placements

-Working with orphaned children's homes,

-HIV/AIDS education, and

-Community development activities

Uganda

13 placements

-HIV/AIDS Preevention/Education/Testing/Social support

-Home-care/Health Out-reach

-children development projects/schools.

-Also working with Islands health/development support projects.

PROGRAM COST

COUNTRY

1

MONTH

2

MONTHS

3

MONTHS

4

MONTHS

5 MONTHS

6

MONTHS

KENYA

400

8780

1150

1450

1900

2300

UGANDA

350

700

1050

1400

1750

2050

Funds to AVN should be wired directly to the network's bank account

(see details below)

Branch:         MUKONO

Account Title (name):      AFRICA VOLUNTEERS NETWORK

Account Number:                  0140574087701

Bank Adress

STANBIC BANK, UGANDA LTD

Telephone

Tel: (+256-41) 234710/11/13-24
       (+256-312) 224 111/600
Fax: (+256-41) 231-116
S.W.I.F.T. - SBICUGKX

Bank Address

Office address

( Bank Headquarters in Kampala)

17 Hannington Road, Kampala,Uganda

Bank Postal address

P O Box 7131, Kampala, Uganda

Thank you

AVN

Management

Fill in This Application Form and then Submit to us

First Name
Second Name
Sex
Date of Birth
Country of Birth
Current Work
Your Snailmail Address
E-mail Address
Have You Volunteered Before?
Where?
For How Long?
Would like to Volunteer in Uganda - (Tick if yes).
Would like to Volunteer in Kenya - (Tick if yes).
For How Long?
When Would like to go to Your Placement?
What New Skills Would You Carry with You to Your Placement? Give Details.
What Are Your Expectations?
Name and Address of your Next of Kin
Do You Have a Valid Passport?
Are You Allergic to Certain Foods? If so, Specify
Are you Married?
This Box is For Group Volunteers Only : Give Details

As soon as your placement has been approved, you will receive a welcome pack.