APPLICATION DEADLINE: MARCH 26, 2007

Here you can find the application form in either PDF or Microsoft Word format:

(click to download)

PDF or Microsoft Word.doc

You can also copy and paste the form from the following HTML format:

APPLICATION FORM


Short Answers



1. Full name


2. Age (Date of birth)


3. Sex (Male/Female)


4. Nationality


5. Permanent Address


6. Phone Number and Mobile


7. Email (main & alternative mails)


8. Rotaract Club & District (how long have you been involved in Rotaract?)


9 . Profession or Full-Time Activity


10. Spoken Languages and Proficiency (your fluency in each language)


11. What is your previous travel experience?


12. Do you have any dietary requirements or special needs? (vegetarian, food allergies, religious customs, etc.)


13. Contact Person and details in case of emergency


14. We want to give you an authentic Canadian experience and promote friendships between Hosts and Guests, therefore on most nights you will be staying in a Rotaractors home. How do you feel about a Homestay situation for accommodation? Would you prefer to stay with a Rotaractor of the same gender as yourself?


15. In order to place you with a suitable homestay:
are you a smoker and/or do you have any other allergies (pets, food, smoke)?


16. Do you need a visa to visit Canada? If yes, please let us know if you need a letter of recommendation as well as how long it will take for you to obtain the visa.



Long Answers- approx. 250 words each please


17. Give a short introduction about yourself.
(interests, hobbies AND your involvement with Rotaract)


18. Why would you like to come to Canada? And if chosen, what kinds of things would you like to do/see? About 250 words please.


Please attach a recent photo of yourself.


*****************PLEASE READ******************

* The BC Roundtrip DOES NOT include airfare, visa costs or health/travel insurance in Canada. We strongly recommend you contact your local embassy and enquire about the requirements for your visit to Canada. We also require you to have proof of travel and health insurance prior to arriving in Vancouver.

By applying for the Rotaract BC Roundtrip, you hereby
waive any and all claims you may now and in the future have against the Rotaract BC Roundtrip, and release from all liability the Rotaract BC Roundtrip members and their associates.

 


 


 


 
 
 
 
 
 
 
 
 
 
 
 

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