ࡱ>  b  /jbjb ,TTTT```$\M\M\MPMlNb} PSp>T>T>TVYv[|||||||,nRVG|`R\ZV^V^R\R\G|]TT>T>T}]]]R\XT>T8>T|]D,TTTTR\|]]Es6HtP \M\Xst,2}0b}s],t]`%+d!+Personal DetailsLast Name:  FORMTEXT      Preferred Name:  FORMTEXT      Date of Birth: FORMTEXT      / FORMTEXT      / FORMTEXT      Sex: FORMDROPDOWN Shirt Size: FORMDROPDOWN Occupation/Studies:  FORMTEXT      Level of Study/Employment  FORMTEXT      Company/Institution:  FORMTEXT      Street Address:  FORMTEXT      Suburb:  FORMTEXT      State:  FORMTEXT      Post Code:  FORMTEXT      Day Time Phone:  FORMTEXT      Mobile Phone:  FORMTEXT      Email:   FORMTEXT      EWB Member: FORMCHECKBOX Note: you must be a member to participate Team PreferencesIndiaDecember 2008 FORMDROPDOWN  Post-Graduate students and young professionals. $400 Deposit due with Registration FormPhilippinesJanuary-February 2009 FORMDROPDOWN  Introduction to Aid, Development, and Community Development for all areas. $400 Deposit due with Registration Form Are there other volunteers you wish to be placed with? Please Specify:  FORMTEXT       Passport DetailsName as it appears on your passport: FORMTEXT      Country of Issue: FORMTEXT      Passport Number: FORMTEXT      Expiry Date: FORMTEXT      / FORMTEXT      / FORMTEXT       Health DetailsDietary Requirements:  FORMTEXT      Please list all notable conditions, including allergies:  FORMTEXT      Please list medication that will be taken on the Experience:  FORMTEXT      Swimming Ability: FORMDROPDOWN General Fitness Level:  FORMTEXT      Please let us know if we can assist in providing accessibility throughout the programHave you received all the required vaccinations for your destination? FORMDROPDOWN If no, please inform your Team Leader once all vaccinations have been completed Emergency Contact DetailsEmergency Contact Name  FORMTEXT      Relationship:  FORMTEXT      Contact (Day):  FORMTEXT      Contact (Night):  FORMTEXT      Personal Physicians Name:  FORMTEXT      Optional - Your Physician will only be contacted in emergenciesPhysicians Address:   FORMTEXT      Physicians Contact Number  FORMTEXT       Additional Travel DetailsThis section only needs to be completed if you are planning additional travel, separate to the teams travel arrangementsWill your stay at the destination require a visa? FORMDROPDOWN If yes, you will need to apply for a visa before entering the countryPlease specify any additional relevant travel arrangements:  FORMTEXT        A little about yourself!Why would you like to participate in the Development Experience?  FORMTEXT       What personal qualities do you think you can contribute to program?  FORMTEXT       What are your expectations of the Development Experience?  FORMTEXT       Do you have any special interests you would like to see accommodated in your Development Experience?  FORMTEXT       How did you find out about the Development Experience? FORMTEXT        Deposit Details$400 Deposits are to be made into the Engineers Without Borders Australia Bank Account. Applicants to the Cambodia Development Educational Experience do not need to make a deposit until their application is accepted. Account Name: Engineers Without Borders Australia BSB: 013 030 Account Number: 837661337 Please ensure that in the Description you write DE [You First Initial and Last Name]. You may need to ask at the bank to include a description in the payment. The description is important to work out who has paid, and to confirm that it is for the Development Experience. Please retain your receipt. Cheques and Money orders payable to: Engineers Without Borders Australia. Engineers Without Borders Australia PO Box 79, ELSTERNWICK VIC 3085 I have made my deposit: FORMCHECKBOX Date of Deposit: FORMTEXT      / FORMTEXT      / FORMTEXT       One More Page.. Statement of CommitmentI,  FORMTEXT       , understand the importance of my responsibilities both in Australia and overseas and commit myself to take my individual role seriously and in earnest. I understand that all members of EWB must ultimately answer to the disadvantaged people living in developing communities with whom we work. They are my boss! I understand that by joining the Development Experience that I will assume a (formal or informal) leadership role within Engineers Without Borders. This role will require an extensive but exciting commitment to my chapter and to my personal learning. Prior to departure I will work with my chapter and my team, and actively assist them in the fundraising efforts for my placement. I acknowledge that this role may require regular hours per week of my time. The Development Experience is an exciting opportunity and I am committed to being an active learner while participating in the training that I will receive. I will also attend the EWB National Conference and acknowledge that it is an important part of my training. If support is required I understand that my Chapter will work with me to find funding specifically to facilitate my attendance. I will also complete all the logistical requirements of the Development Experience on time and with precision. Upon return from my overseas placement I will play an enthusiastic and active role within the chapter leadership either as an executive member or an actively contributing general member. I am excited about exceeding all of the requirements placed before me! I understand that my involvement will greatly influence the lives of everyone involved, including my own! This experience will provide opportunity for my own personal and professional growth. I will work with the my team, EWB and our host organisations to ensure that the program benefits from my experiences, knowledge, and energies. Most importantly, I acknowledge that through my work both at home and overseas will have the opportunity to be a part of a team helping people in the developing world to create long-term change in their lives. I am 100% committed to doing what it takes to ensure that I uphold EWBs mission to support these people though my actions both at home and abroad.   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