Confirmed Volunteer Service*
---Volunteer Service 1 (March 20 - July 23, 2017)Volunteer Service 2 (April 3 - November 25, 2017)Volunteer Service 3 (July 24 - November 26, 2017)Volunteer Service 4 (August 7 - November 26, 2017)
First Name *
Please write your legal first name as it appears in your passport -- no nicknames or preferred names!
Middle Name(s) *
Please write your legal second/middle name(s) as it appears in your passport -- no nicknames or preferred names! In the case that you do not have a middle name, please write "N/A".
Last Name(s) *
Please write your legal last name(s) as it appears in your passport -- no nicknames or preferred names!
Citizenship through which you will be applying for your visa? *
If you have permanent citizenship to more than one country, please list the country citizenship you will use when applying for your visa.
Passport Number *
If your passport number starts with a zero, please write a number sign (#) in front of you passport number. Ex. #058774263
In which country will you be applying for your Temporary Residence Visa? *
Please note: Once you turn in this form, you MAY NOT change the consulate through which you have chosen to apply for your visa.
What is the name of the consulate with which you will be applying for and stamping your visa? *
(i.e. Los Angeles, Chicago, London, etc..) Please note: Once you turn in this form, you MAY NOT change the consulate through which you have chosen to apply for your visa.
Have you made contact with your consulate yet? *
Have you requested your criminal background check yet? *
Have you begun to put together the other required paperwork? *
If you answered "no" to any of the previous three questions, or if you are still unsure as to which consulate you will be working with to process your visa, please provide us with an explanation below:
Please list any trips you plan to take from now until your volunteer service (that will be longer than two weeks).
Please include the specific locations and duration in each location.
Email Address *
Subject to my acceptance and participation in the English Opens Doors Program, in the event of illness, injury or emergency, I hereby authorize the Ministry of Education and its regional staff to make calls and/or arrangements for my medical treatment.
I hereby certify, under penalty of exclusion from the Program, that the information provided on this document is true and accurate.