IMPACT Madagascar Volunteer Application

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Thanks for your interest in volunteering with us! This form will help us to learn more about you and what your volunteering interests and preferences are. The information you fill in here will not be shared with anyone outside of our organization.

If you haven't yet, be sure to read over the document "Volunteering with IMPACT Madagascar" for full details on all of the volunteer programs that we offer. You can also take a look at our Annual Reports on our website to get a more in-depth view of our projects.

If you have questions, be sure to check out our volunteering FAQ! If your questions aren't answered there then do not hesitate to ask us at impact.mada@gmail.com.

PLEASE NOTE: Volunteering is only currently available at our Madiromirafy site.

PERSONAL INFORMATION

First and last name *

Gender

Date of birth *

YYYY

Nationality *

Home address *

Primary phone number (please include country code) *

Email address *

Do you have any additional needs or special requirements that we should know about? *

Including dietary restrictions, disabilities, mobility issues, medical/health related, etc.

EDUCATION & OCCUPATION

Highest level of education obtained *

If applicable, please include the university where it was obtained and the name of your course/major.

If you are currently a student, please provide the name of your university and the degree sought

Occupation *

Current employer, if applicable

VOLUNTEERING PREFERENCES

Please keep written answers to 200 words or less.

What is your preferred start date? *

YYYY

How long would you like to volunteer? (minimum of two weeks) *

Which is your preferred field site? PLEASE NOTE: Volunteering is only currently available at our Madiromirafy site (please select this option below) *

Ankirihitra

Madiromirafy

No preference

What is your preferred project? *

Lemur Ecology and Conservation

Community Development

Practical Environmental Education

Practical Environmental Education and Construction (only at Ankirihitra)

Freshwater Biodiversity and Ecology Monitoring (only at Madiromirafy)

Other:

If you would also like to participate in a second project, please select it below (or choose "Other" and write in your own answer, if you have another interest you would like to explore with us)

Lemur Ecology and Conservation

Community Development

Environmental Education

Environmental Education and Construction (only at Ankirihitra)

Wetland Ecology and Monitoring (only at Madiromirafy)

Other:

Clear selection

Why did you choose this project over the others? *

Please briefly explain why you want to volunteer with IMPACT Madagascar and what you hope to gain from this experience. *

Do you have any prior experience with scientific data collection, GIS, construction, education, community development, or any other area specifically related to IMPACT Madagascar’s projects? *

Please describe any involvement in clubs or other organizations, or volunteering or ecotourism experiences (including the organization, major projects, and dates) that may be relevant to your work with IMPACT Madagascar.

Please list any special skills or training that have not already been mentioned that may contribute to your success with IMPACT Madagascar (this may include special certificates in/out of traditional school training, as well as hobbies, activities, etc.)

Do you have any prior experience traveling abroad (specifically to developing countries)? *

Are you comfortable living and working in basic conditions and in remote areas? *

Have you ever been convicted of a crime? If yes, please briefly explain the nature of the crime and date of conviction. (This does not automatically disqualify applicants from being able to volunteer.) *

REFERENCES

Please provide two references that you know well and can speak on behalf of your character, skills, and experiences (provide at least one former or current employer or one advisor/professor, if applicable).

REFERENCE 1: Please provide their name, organization, and title *

REFERENCE 1: What is their relationship to you and what is the length of this relationship? *

REFERENCE 1: Contact information (email preferred) *

REFERENCE 2: Please provide their name, organization, and title *

REFERENCE 2: What is their relationship to you and what is the length of this relationship? *

REFERENCE 2: Contact information (email preferred) *

LAST, BUT NOT LEAST:

Do you have any questions for us?

Please read the following statements carefully and check the corresponding boxes to confirm your understanding. *

I understand that this is an application for and not a commitment or promise of volunteer opportunity.

I certify that all information in this application is correct and complete to the best of my knowledge.

I certify that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position.

I understand that IMPACT Madagascar reserves the right to verify any information in this application and any misrepresentation or omission of information may cause my application to be dismissed

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