1Volunteer Information2Availability3Interests4Experience & Certifications5Program Information Volunteer InformationFull Name First Middle Last Date of Birth MM slash DD slash YYYY Nationality Select CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Languages Spoken For each language, please indicate your current level of proficiency (e.g. elementary, working, professional, native)Email Phone NumberPlease include country codeHome Address Street Address City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country AvailabilityPreferred Trip DateFirst ChoiceJune 3 - June 16 2023June 17 - June 30 2023July 1 - July 14 2023July 15 - July 28 2023August 13 - August 25 2023August 26 - September 8 2023I'm not available on any of these datesAlternate Trip DateSecond ChoiceJune 3 - June 16 2023June 17 - June 30 2023July 1 - July 14 2023July 15 - July 28 2023August 13 - August 25 2023August 26 - September 8 2023I'm not available on any of these datesDates you are available to volunteer with Swimdo MM slash DD slash YYYY Until MM slash DD slash YYYY Alternate dates you are available to volunteer with Swimdo MM slash DD slash YYYY Until MM slash DD slash YYYY InterestsHow would you like to help Swimdo on your volunteer trip? In-water swim instruction Community education Research Outside of vounteer hours, what else would you like to do on your volunteer visit? Previous Experience and CertificationsEducation LevelIf you are attending an educational institution at present, select your current levelSelectHigh SchoolUndergraduateGraduateOtherPlease elaborate Upload Your ResumePlease submit a resume/CV that includes your education, work and any previous volunteer experience. Include any additional skills, training and experiences that would further qualify you to be a part of the Swimdo volunteer program.Max. file size: 10 MB.Please list any relevant certifications, licenses and specific training you bring Don't forget to include copies of your certifications in the document upload section at rightUpload copies of your certifications here Drop files here or Select files Max. file size: 10 MB. If you are a teacher, please state which subject you teach and at what grade level Have you completed a course on safeguarding children? Yes No Upload a copy of your certificate hereMax. file size: 10 MB.Upload Letters of RecommendationPlease submit two letters of recommendation from people who have known you for at least one year, including one from a past employer, supervisor or professor. Drop files here or Select files Max. file size: 10 MB. Program Information and ExpectationsHave you ever been convicted of, or plead guilty to a criminal offence? Yes No Due to the nature of our program, Swimdo requires all volunteers to submit a background check. Do you consent to a background check?Our background checks are provided by Checkr. Once your application is complete and your trip dates have been finalized, we will send you a secure, Swimdo-specific link to the Checkr website where you can provide your information for the background check. Yes No Do you currently hold or plan on holding an international travelers insurance policy for this volunteer trip? Yes - I already hold a travelers insurance policy Yes - I plan to purchase a travelers insurance policy before my trip Yes - I plan to purchase a travelers insurance policy, but I need help deciding on one No - I do not hold, nor do I plan to hold a travelers insurance policy on the dates of my trip Please upload insurance policyMax. file size: 10 MB.Have you checked with your doctor to make sure you are up to date on all travel vaccinations needed for Indonesia? Yes No In order to offset the cost of ruining our volunteer programs, Swimdo requires each volunteer to finance their own trip at a weekly cost of $500 USD. Payment for the duration of your volunteer trip is due in full 30 days prior to the commencement of the session.Pre-departure and visa support (although we cannot apply for a visa on your behalf, we can guide you on visa best practices)Airport pick-up and drop-off (if not spending extra time in Bali)Food - breakfast and dinner on volunteer days (Monday-Friday)14 nights accomodationPlease note that volunteer positions are full-time, Monday – Friday. Volunteers will be expected to be available 40 hours a week.Consent By checking this box I agree to the terms belowI confirm that I have read and understand all of the program information and expectations described in this application and that the information I have provided above is true and complete to the best of my knowledge. If accepted by Swimdo, I understand that any misrepresentation, false statements, or omissions contained herein may be considered cause for non-refundable dismissal. Swimdo has my permission to obtain all necessary information from the references I have submitted, or any other source, concerning my prior employment, educational, personal and/or criminal history.CommentsThis field is for validation purposes and should be left unchanged. Δ
