Skip to content
Passion driven
Home
Current programs
Upcoming project
Social enterprise program
History & progress
Volunteer info
Contact & Info
Pervita TV
Menu
Home
Current programs
Upcoming project
Social enterprise program
History & progress
Volunteer info
Contact & Info
Pervita TV
Volunteer application
Application
Surname
*
First name
*
Date of birth
Month
*
1
2
3
4
5
6
7
8
9
10
11
12
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year (XXXX)
*
Country of origin
*
Country of residence
*
Have you been to Africa before?
*
Yes
No
If yes, state the country you visited and what activities you attended while you where there.
What area of charity work would you like to work in? Do you have any experience in this field?
*
Would you like to implement an activity or bring on board anything new in relation to our charitable events? If so describe here.
How many weeks do you intend to volunteer?
*
Contact phone number
Emergency contact name and number
Email address
*
I have read
the values of the foundation
and do hereby pledge to go by the foundation rules and regulations. I agree to the terms of the payment as per the agreement.
*
Yes
Verification
Please enter any two digits with no spaces (Example: 12)
*
This box is for spam protection - <strong>please leave it blank</strong>:
