2024 Program Application for Volunteer - Operation Crossroads Africa 2024

Please answer all questions.

Personal Information

First NameMiddle NameLast Name

GenderFemaleMale

AgeDate of BirthPlace of BirthCurrent CitizenshipVisa status, if you are not a US citizenCurrent AddressCurrent Telephone NumberEmail AddressPermanent Telephone NumberPermanent Address

Emergency Contact:

NameTelephone NumberAddress

Do you have any known medical, psychological or physical condition that would affect your participation in the Africa Program?NoYes

If yes, please give details

Education / Employment Background

School NameMajor / ConcentrationCareer GoalOccupation, if not a student

List the names and addresses of two people who have agreed to serve as references for you. Download the Volunteer Reference Form and give it to them to fill out and return to Operation Crossroads Africa.

Reference-1 NameReference-1 AddressReference-1 Relationship to ApplicantReference-2 NameReference-2 AddressReference-2 Relationship to Applicant

Qualifications & Interests

What languages, other than English, do you speak? Indicate your level of proficiency in each language: Fair, Good, Fluent.

LanguageProficiencyLanguageProficiency

Do you want to be assigned to a French speaking country?YesNo

Do you wish to assigned to a particular type of project? If so, which?Do you wish to be assigned to a particular country? If so, which?

Do you have a passport?YesNo

If yes, what country issued your passport?Passport NumberHow did you hear about Operation Crossroads Africa?Other

Help us to get to know you

In no more than 500 words, write a brief autobiographical sketch that includes references to any previous travel, group work or relevant personal experience.

Answer the following questions –

1. Why do you want to participate in Operation Crossroads Africa?2. What is your understanding of the Crossroads program?3. What impressions come to mind when you hear the word Africa?4. How do you deal with frustrations and disappointments?5. What are three important things that you want people to know about you?6. If necessary, how will you raise your participation fee?