Cambodia 2012 Volunteer Application

We appreciate your interest in joining us in 2012. Please fill out the application below and we will contact you. Thanks!

Name as it appears in passport.(required)

Email(required)

Best phone number to reach you.(required)

Physical mailing address.(required)

Date of birth(required)

I understand that I will be asked to perform tasks while I am in Cambodia with WOWi, and I commit to performing those tasks.(required) Yes

No

I understand that no smoking nor drinking of alcoholic beverages will be allowed when in the presence of the Ponheary Ly Foundation school children. Yes

No

I understand that I must bring my own photographic equipment and that equipment for the students will be supplied by WOWi. I likewise understand that WOWi will have non-exclusive rights to use all digital media content created by all participants during the projects February 4-18 time period. (required) Yes

No

I understand that I am responsible for obtaining my own visa in order to travel within Cambodia, that this can be obtained upon arrival in Cambodia or ahead of time, that my passport must be valid for a minimum of 6 months beyond the date of entry into Cambodia, and that if I have any questions I will ask for assistance.(required) Yes

No

I have been advised that I may need inoculations prior to traveling to Cambodia and that I should contact my primary healthcare physician for advice. I likewise acknowledge that I have been referred to the website www.cdc.gov for specific details on this matter.(required) Yes

No

I understand that travel insurance has been strongly advised by WOWi. I understand that any expenses incurred due to circumstances outside the control of WOWi (eg. medical expenses, costs incurred due to delayed or cancelled flights, etc.) can sometimes be covered by travel insurance and that options for obtaining this insurance from third parties can be provided by WOWi upon request.(required) Yes

No

I understand that I must make and pay for my own travel arrangements to and from Siem Reap and that I can ask for assistance from WOWi if I so desire.(required) Yes

No