Registration Form
In order to register for a project/s, please do one of the following:
- Please pay for your project registration online. Download this page in Microsoft Word format and complete and then, email as an attached file to ( vfp@vfp.org), fax (802-259-2922) or send by post (Volunteers for Peace, 1034 Tiffany Road, Belmont, VT 05730 USA).
- Please pay for your project registration online. Then, Copy & paste the form below into any word processor ( MS WORD is preferred within our network) setting the font to 12 point and margins to 1" all around. Or print this page and complete. Email the form to us at vfp@vfp.org as an attached file or fax the completed form to our dedicated fax line - 802-259-2922.
VFP USA REGISTRATION FORM
CONTACT INFORMATION
First Name___________________ Last Name_________________________
Address _______________________City ________________ State______ Zip________
Tel ______________ Alt. Tel _____________ Email __________________
Date you will leave this address __________
_______________________________________________________________________________________
EMERGENCY CONTACT INFORMATION
First Name___________________ Last Name_________________________
Address _______________________City ________________ State______ Zip________
Tel ______________ Alt. Tel _____________ Email __________________
_______________________________________________________________________________________
PERSONAL INFORMATION
Occupation ____________ If student/school ______________
Citizenship _________ Sex (M/F) ___ Age ______ Date of Birth __________ IF visa needed - PP#________
Languages You Speak Well ___________________ Speak Some ________________ Understand ________
Please list any serious medical conditions, handicaps, allergies ~
How did you hear about Volunteers for Peace ~
Please list any previous voluntary service experience that you have had below ~
_______________________________________________________________________________________
PROJECT INFORMATION
Please print your project choices below, in order of preference. You may register for consecutive projectss by attaching an additional page with your choices. All consecutive project dates must work with any of your first project choices.
ProjectCode / Project location or name / Dates / Type of work
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________
_______________________________________________________________________________________
STATEMENT OF MOTIVATION
In the space below or on a seperate sheet of paper please write a short 1-3 paragraph statement of your motivation for the project/s chosen.
_______________________________________________________________________________________
VFP's CANCELLATION POLICY
We strongly discourage canceling or changing your project selection/s! Please be sure that you will be able to participate before you register. VFP has a VERY strict cancellation policy, NO REFUNDS are given if you cancel a project that you have selected…NO MATTER WHAT! NO EXCEPTIONS! However, IF VFP is unable to place you in a project of your choice, we will refund your registration fee in full! When you select a project, you are making a commitment to it! Cancellations and/or changes in your selection/s cause logistical complications for both VFP and our partners abroad.
________________________________________________________________________________________
SIGNATURE
There is no need to sign this form if you have paid online and will be sending this registration form to VFP via email. We consider your credit card authorization your signature.
My signature certifies that I have read and agree to accept the Placement Conditions which includes
VFP's strict cancellation policy and am willing to participate in any of the projects that I have chosen.
_________________________________________________________________________
Date/Signature (Parent/Guardian's Signature if under age 18)
________________________________________________________________________________________
PAYMENT
We encourage you to pay your registration fee online. After paying online, all you need to do is email VFP your completed registration form as an attached file or fax it to us.
IF you elect to pay when submitting your form by fax or by surface mail, please complete the remainder of the form below:
My signature certifies that I authorize VFP to debit my Mastercard, Visa or American Express card as indicated below. I understand that if I am not a current member, that VFP will add the required membership fee of $30 to my registration fee/s. If the volunteer being placed is under age 18, VFP will charge $500 minimum per program placement. Any XTRA FEES mentioned in the project header are always payable in cash directly to our partners on arrival at the project and should not be including on this payment page.
______________________ ________________________________________
Card Card number Exp. Date
______________________ ______________________ $_______________
Signature of Cardholder Name, printed Amount
Other Forms of Payment:
We accept payment also by personal or bank check, money order or traveler's checks. If not paying by credit card, you must enclose the VFP Registration Fee, in US FUNDS, for the total number of any consecutive camps that you are registering for. We will promptly refund any excess payment after completion of your placement/s.
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