Gap year projects for students who want to ‘Make A Difference’ in Kenya

Apply

What happens next?

You can Apply Online now, indicating your preferred placement, and project dates.

Please fill in as many of the details as possible. If you are unsure, fill in what you can and then we can finalise at a later date.

Please contact us if you wish to have an application form emailed or posted to you.


Application Form

Section 1 - Personal Details

First Name:
Last Name:
Date of Birth:
(dd/mm/yyyy)
Nationality:

Section 2 - Contact Details
Address 1:
Address 2:
Address 3:
Town/City:
County:
Country:
Postcode:
Daytime Telephone:
Evening Telephone:
(if different)
Mobile Telephone:
Email Address:
Parents/Guardians/
Next-of-Kin Names:

Section 3 - Project Details
Preferred Placement Type:
e.g. teaching, children’s home etc
Second Choice of Placement:
Preferred Month of Departure:
Preferred Year of Departure:



Section 4 - Other Details
Interests (including sports, arts, dance, hobbies etc):
Voluntary Work Undertaken:
Positions of Responsibility Held:
As briefly as possible please explain why you would like to do a project with MAD In Kenya:
Please tell us about any other overseas travel experiences/destinations:
Please detail any dietary requirements, or food allergies:
Please indicate if there are any medical reasons that could affect you taking any part in any activities on MAD gap year projects:
Please detail any phobias/intense dislikes:
Enter Promotional Code:

Deposit - £175

To reserve your place on the project, you will be redirected to Paypal. This deposit of £175 guarantees your place and is fully refunded in the unlikely event that we cannot offer you a placement.

Declaration: I confirm that I have read and understood the Terms and Conditions and that the information I have provided is correct.

Tick Box:

Secure your place NOW.