GLOBAL MAMAS VOLUNTEER REGISTRATION FORM

GENERAL INFORMATION First Name: Address: State/Region: Zip: Last Name: City: Country:

Permanent Address (if different from above): Address: City: State/Region: Phone: Nationality: Zip: Country: Email: Birth Date: Gender? M F

Please specify your estimated departure date: Programs typically last between 3-12 weeks. Please specify approximately how many weeks would like your program to last: * FEES: Our fees cover pre-departure support, the orientation packet, lodging in Ghana, in-country support, and project related expenses. Fees DO NOT cover: Airline Tickets, Vaccinations, Visa, Travel Medical Insurance. Up to 2 weeks 3 weeks 4 weeks 5 weeks 6 weeks 7 weeks 8 weeks 9 weeks $1,500 $1,650 $1,800 $1,940 $2,080 $2,200 $2,310 $2,410 10 weeks 11 weeks 12 weeks 13 weeks 14 weeks 15 weeks 16 weeks Longer $2,500 $2,590 $2,670 $2,750 $2,830 $2,910 $2,990 Upon request

How did you hear about Global Mamas?

Global Mamas

P.O. Box 18323

Minneapolis, MN 55418

www.GlobalMamas.org

1-800-338-3032

Page 1 of 5

O. MN 55418 Page 2 of 5 .org  1-800-338-3032 Minneapolis. please specify where you have traveled to: Please describe any other previous international travel: Please indicate whether you would prefer to stay in volunteer housing or with a Ghanaian family: (Please note that there is an additional $100 fee per week for home stays) Select One SKILLS Please assess your skill level based on the following scale by checking the appropriate box: 1 = No Knowledge BUSINESS/IT Market Research Microsoft Office Applications Business/Strategic Planning Computer Hardware/Networking Manufacturing/Supply Chain 2 = Some Knowledge 1 2 3 4 Accounting/Finance Grant Writing/Fundraising Sales/Marketing Journalism/Business Writing Public Relations 3 = Competent 1 4 = Expert 2 3 4 DESIGN/MERCHANDISING Pattern Drafting Surface Textile Design Product Design: Product Design (please specify): MEDIA DESIGN Adobe Illustrator Adobe Photoshop Film Production/Editing Photography TRAINING Global Mamas  P.GlobalMamas.Have you been to Africa before? No Yes If yes. Box 18323  1 2 3 4 Trend Forecasting Research and Development Merchandising 1 2 3 4 1 2 3 4 HTML Adobe InDesign Graphic Design Web Design 1 2 3 4 1 2 3 4  www.

MN 55418  www.): Please describe any other skills that might be relevant to volunteering with Global Mamas: Global Mamas  P.O. etc.e.GlobalMamas. Box 18323  Minneapolis. worked 2 years as management consultant.org  1-800-338-3032 Page 3 of 5 . Accounting major in college.Classroom Teaching One-on-one Tutoring Workshop Facilitation Subject Taught: Subject Taught: Subject Taught: Briefly describe your experience for any skill rated at the Competent (3) or Expert (4) levels (i.

regardless of your specified interests? Do you work better in a team environment or alone? Alone No Yes Both Team Environment Please rate your general ability to work unsupervised on a scale of 1 to 10: (1=you need firm direction and instructions.). Box 18323  Minneapolis.org  1-800-338-3032 Page 4 of 5 . 10=you can assess most situations. Project Area Select One Select One Select One Select One Select One Specific Interest/Comments 1 2 3 4 5 Are you willing to work in any area of need.GlobalMamas. MN 55418  www.Education Name of Institution High School University Graduate Post-Graduate Field(s) of Study Year Graduated Employment History Please send a resume along with your Registration Form or discuss your work history below: INTERESTS Please indicate in which of the project areas you would be interested in working during your time in Ghana. Please note: There are positions for all types of individuals.O. and implement them with little or no direction. suggest solutions. Global Mamas  P.

MN 55418  www. If my existing medical insurance does not provide coverage Ghana. tips on packing and traveling. what to expect.O. you will receive the following:     Volunteer Orientation Kit – An introduction to the culture.org. I will purchase supplemental international medical insurance. NEXT STEPS After receiving the completed form.GlobalMamas. Signature: Date: Save the Volunteer Registration Form to your computer and return it as an attachment to volunteer@globalmamas. Box 18323  Minneapolis. Global Mamas will contact you within two weeks to discuss your interests and potential volunteer positions.org  1-800-338-3032 Page 5 of 5 . and the location where you will be placed Health & Emergency Contact Form – Must be signed and returned Volunteer Agreement – Must be signed and returned Global Mamas  P.What is your primary motivation for volunteering with Global Mamas? Please list any other factors you would like us to consider when making a volunteer position match: I understand that I will be required to have international medical insurance. If Global Mamas is able to make a successful match. including emergency medical evacuation. an explanation of your role on the project. etc. Volunteer Assignment – This contains an overview of your project’s objectives.