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Please note this form is to APPLY for an Eco School Challenge placement.

Please fill out this form as accurately as possible, as this will help us place you on the placement that will best suit your needs and interests.

Fields highlighted * are mandatory.

PERSONAL DETAILS  
First Name (as in passport) *
Surname (as in passport) *
Gender
Nationality
Date of Birth *   
Address *
Post Code/ZIP
Telephone: Home *
Telephone: Mobile
E-mail *
Where did you hear about us? Please tick appropriate box and specify accordingly.
UCAS ConventionPlease Specify:
ISCO Gap Year ShowPlease Specify:
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Friend/Past VolunteerPlease Specify:
Born Free Foundation  
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CORRESPONDENCE		 
How would you like to receive correspondance?
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TERMS AND CONDITIONS 		 
I have answered the questions to the best of my knowledge. I believe I am medically fit and able to do all Worldwide Experience activities. On application you hereby agree to the terms and conditions.
 



SOUTH AFRICA: Shamwari Game Reserve | Kapama Game Reserve | Kariega Game Reserve | Addo Elephant Park
   Become a Game Ranger | Moholoholo Rehab Centre | Wildlife Film Academy | ORCA Marine Foundation | Community & Teaching | Tiger Shark Research Programme
Bruce Little Sculpting OTHER: Vets Go Wild | Eco School Challenge | Grown up Gappers
KENYA: Colobus Trust Monkeys | SRI LANKA: Elephant & Leopard Research | MALAWI: Born Wild Programme
INDIA: Cotiago Wildlife Sanctuary | Turtle Preservation Program | Animal Rescue & Care Project

Apply online | Request a brochure | Meet our team | Who we are | Why choose us | Terms & Conditions | Gallery | Rates | FAQ | Contact Us
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Please see our booking conditions for more information. ATOL Protection extends primarily to customers who
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WORLDWIDE EXPERIENCE
Ashley Adams Travel (UK) Ltd, Guardian House,
Borough Road, Godalming, Surrey, GU7 2AE
Tel: +44 (0) 1483 860560, Fax: +44 (0) 1483 860391
Web: www.worldwideexperience.com | e-mail us
Normal Hours of Business 09:00 to 17:30
Registered in the United Kingdom No: 3307361, Vat Number: 242 4974 53