Application Form For Gap Year Teaching Opportunities in Sri Lanka
Please fill in as many details as possible below and if you are not sure about some of the details, fill in what you can and click on 'Apply Now' at the bottom of the page. We will ask you to complete the other parts later, for example, if you know you want to go on a specific project next summer but just can't yet decide which date most suitable for you You need to purchase Return Air ticket with one year validity. Cheapest tickets available for forward journey in January to March and from May to June. Please do not make any travel arrangements until you have received written confirmation.
1. Personal Details
First Name (*)
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Last Name
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Date of Birth
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2. Contact Details
Address 1
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Address 2
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Address 3
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Twon / City
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Country
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Post Code
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Daytime Telephone Number
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Evening Telephone Number
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Mobile Telephone Number
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Email Address (*)
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5. Medical Details
Are you taking any medication?
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Please use this section to tell us about any significant current or past medical conditions that we should be aware of
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Do you have any special dietary requirements or food allergies?
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If yes to the above please give details
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4. Emergency Contact Details
EMERGENCY CONTACT NAME (*)
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RELATIONSHIP TO APPLICANT
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ADDRESS (*)
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HOME PHONE (*)
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Mobile Telephone Number (*)
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E-MAIL (*)
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Other Specify
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Occupation
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Would you like to know more about Sri Lanka?
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3. Project Details
Please fill in all sections where applicable.
Confirm Year?
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Anticipated Start Date
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Duration
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Proffered Project activity List
Proffered Project activity List
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Other project activity (please specify)
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6. Payment

To reserve your place a refundable deposit for £150, is required. Please do not pay until a placement is confirmed.
Debit/credit card will not be accepted at the moment.

7. Declaration
I confirm that the information that I have provided is correct. I have read and understood all the information on the Gap year Project in Sri Lanka' website and the tms and conditions information and conditions information sheet with regard to the application procedure, acceptance of risk, foreign office advice, and security and inconveniences that may arise in the developing world outside of the control of Gap year Project in Sri Lanka'
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