Volunteering Application Form

Your Details
Name*
First Last
Date of Birth*

Day
Month
Year
Gender
- Male
- Female
Nationality*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Passport Number*
Email*
Enter Email Confirm Email
Phone*
Mobile Phone
Contact in case of Emergency*
include Name, Relationship, Phone, Email
Health Details
Current health*
Health issues*
Travel Insurance Company
Company name, Policy number, Phone or email contact
Travel Details
Desired Arrival Date*
Flexibility with Arrival Date

Days
How long do you wish to Volunteer?

Weeks
Preferred area of placement*
Skills and Experience
Skills / Qualifications*
Interest / Experience working with children*
Previous travel experience*
Any further questions?
Acceptance*
- I have read and understood all information on Volunteer FAQs
Phone
This field is for validation purposes and should be left unchanged.

Volunteer Donation Fees

All new volunteers are required to pay a Volunteer Donation Payment.

Volunteers coming for 1 to 4 weeks	$250
Volunteers coming for 1 month to 3 months	$500
Return coming for 1 month to 3 months	$350
or if you have sponsored a child or student for more than twelve 12 months	$350

Please read our Volunteer Code of Conduct, Volunteer FAQs and Child Protection Policy before submitting your application.

New Hope Cambodia - Transforming the lives of impoverished children and youth within Siem Reap City by providing free education, health care and community support.