Volunteer Application B

Volunteer Application Form B
  1. Type the answers with a text editor first and then copy and paste, because you might lose everything you typed if you have an internet connection failure while submiting the online application form.
  2. (required)
  3. (valid email required)
  4. (required)
  5. (required)
  6. (required)
  8. (required)
  9. (required)
  11. Is your church/Pastor in favour of you applying for this school?
  14. (required)
  15. (required)
  16. (required)
  18. (required)
  19. (required)
  20. Are you a U of N degree student?
  22. (required)
Health information
  1. (required)
  2. (required)
  3. (required)
  4. Have you ever had, or do you have, any of the following? (Please tick to indicate a YES and, if so, supply details on a separate sheet of paper. If your answer is NO leave the area blank)
  6. (required)
  7. (required)
  8. (required)
  9. (required)
  10. (required)
  11. (required)
  12. Consent for Treatment: In case of emergency, I/we hereby agree to the performance of such treatment, including anesthesia and surgery, as the attending doctor or physician may deem necessary.
  14. (required)
Financial Questions
  1. (required)
  2. (required)
  3. (required)
  4. (required)
  5. Acknowledgement of Responsibility
  7. Release of Liability
  9. (required)
  10. I certify that all information on this application form is accurate to the best of my knowledge and judgment
  13. Captcha
 

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