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BAWA Volunteer Application

If you would like to pursue a volunteering experience with BAWA please complete and submit the following application.

Salutation:

Mr.
Mrs.
Ms.

Enter Your First Name:

Enter Your Last Name:

Your Email Address:

Re-Enter Email Address:

Address Line 1:

Address Line 2:

Zip or Postal Code:

Country:

Citizenship:

Passport Number:

Date of Birth:

Are You Currently Staying In Bali?

Yes
No

Name of Hotel/Villa:

Employment Status:

Employed
Not Employed

Current Occupation:

Name of Employer:

Do You Have Travelers Insurance?

Yes
No

Insurance Company:

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Contact Relationship:

Emergency Contact Phone Number:

To volunteer for BAWA, you MUST first have a rabies vaccination.

Date of your Rabies Vaccination:

Tetanus Vaccination?

I'm Vaccinated
I'm Not Vaccinated

Have you Volunteered Before?

Yes
No

If Yes, Where and For How Long?

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How many hours / days during the week are you able to offer BAWA?

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When are you able to start and how long can you spend with us?

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Terms of Volunteer Service: I wish to offer my services at no cost to BAWA and understand that there is no payment, reimbursement, supply of meals, clothing, materials, transport or compensation for any expenses incurred during my time as a BAWA volunteer. I understand that the any information given to me by BAWA regarding transport, accommodation, living in Bali etc. is given in good faith and is to the best knowledge of the staff at the time the information is given to me. I also understand that BAWA does not take any responsibility for any loss or injury incurred by me whilst I am volunteering at BAWA. This includes the cost of any post exposure rabies vaccination treatments that may be required.

I Have Read, Understand, and Agree to the BAWA Terms of Volunteer Service.

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