Apply Now You are hereHome Please complete the details in each section below to submit your application for a Volunteer Holiday. Contact detailsPlease tell us your basic contact information. Your name * First name First name Last name Last name Email address * Phone number * General detailsPlease give us some general information about your holiday. Volunteer Holiday * - Select -Encourage - CambodiaEncourage - Cambodia/VietnamEncourage - Thailand Please choose your preferred destination. Date of travel * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201920202021 What is your preferred departure date? Gender * Male Female Other person If you are planning to volunteer with someone else, please put their name(s) here. Passport detailsPlease tell us the details on your passport. Nationality * What is the nationality on your passport? Number * What is the number on your passport? Issue date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year199920002001200220032004200520062007200820092010201120122013201420152016201720182019 When was your passport issued to you? Expiry date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201920202021202220232024202520262027202820292030203120322033203420352036203720382039 What date does your passport expire? Address detailsPlease tell us your home address. Home address * Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Address 1 * Address 2 City * State * - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands ZIP code * Skills & QualificationsPlease tell us about your skills and qualifications. Highest education * - Select -Some High SchoolHigh School GraduateSome DiplomaDiplomaDegree QualificationAdvanced DegreeDoctorate Degree subject Other qualifications Do you have any other qualifications that may be relevant to this application? Work experience Have you done any previous work experience that may be relevant to this application? Travel experience Have you travelled before? If so, please tell us where you went. Languages Do you speak any languages other than English? If yes, which languages? Previous volunteering experienceHave you previously volunteered in another program? If so, please state the location and dates in which you volunteered. Previous volunteering Your healthPlease state any health condition that you have, including allergies or disabilities. (it is important for us to be aware of any condition) Health overview * Your fitnessPlease rate your level of fitness. (e.g. Poor-cannot walk for 3 hours, Average-can walk for 3 hours or more, Good-can walk for 5 hours or more) Fitness overview * Travel insurance Travel insurance options * I require The Travel Studio to organise Travel Insurance on my behalf I have purchased an alternative policy I will use my credit card policy (which I understand has limitations) Other details Marketing * - Select -Active Education MagazineAquatic CentreConnections MagazineFacebookGoogle PlusTwitterFriend/ColleagueGoogle SearchHO FMStudio Travel ClubTasmania Life MagazineThe Mercury NewspaperTravel Studio Email NewsletterUtlra FMYellow PagesOther Where did you hear about us? Comments Do you have any additional comments or questions regarding this application? Terms & conditions Do you agree? * I agree to the Terms and conditions for this application. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.