Home / Wildlife Volunteer Application Form Wildlife Volunteer application form By filling out this form you are not committed to making any payments. It’s just a great way to make a connection with us, and to find out more about volunteering for conservation in South Africa. Choose a project* General project enquiryEndangered Species ConservationOkavango Wildlife MonitoringLeopard Conservation CensusConserving Paradise Seychelles About you Full name * Email * Mobile * Gender MaleFemale Date of birth* ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember ( Month ) ---12345678910111213141516171819202122232425262728293031 ( Day ) ---20001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 ( Year ) Nationality Tell us about yourself and why you’d like to join our conservation experience. (Examples: Current studies / profession, your hobbies, other volunteer or travel experience etc.) Let us know if you have any questions about conservation volunteering in Africa. Medical history Do you have any medical conditions that may hinder or prevent you from participating in our projects? Please Note: The more information you supply, the better equipped we will be to co-ordinate placements and participants. Please bear in mind that living and working closely as a team may also be mentally/emotionally demanding. You know yourself and any limitations you may have, best. Your honesty in response to this question affects your safety (and the safety of your fellow participants) while participating in the monitoring work. Failure to disclose any potentially important information could result in hazardous situations in this wild and unpredictable environment in which we work. Extreme cases, in which the program is compromised through failure to divulge this information, could result in participants being asked to leave without a refund. Dietary Requirements (e.g. vegan/vegetarian/lactose intolerant) Allergies How did you hear about Wildlife ACT? Pick one or specify belowGoogleFacebookTripAdvisorWord of mouthMagazineTV or video Other (please specify) Timing and placement Please select two tentative start dates that you are considering to join us. Dates start every second Monday. 1st choice start date Choose Date2 January 201716 January 201730 January 201713 February 201727 February 201713 March 201727 March 201710 April 201724 April 20178 May 201722 May 20175 June 201719 June 20173 July 201717 July 201731 July 201714 August 201728 August 201711 September 201725 September 20179 October 201723 October 20176 November 201720 November 20174 December 2017 (starts every 2nd Monday) 2nd choice start date Choose Date2 January 201716 January 201730 January 201713 February 201727 February 201713 March 201727 March 201710 April 201724 April 20178 May 201722 May 20175 June 201719 June 20173 July 201717 July 201731 July 201714 August 201728 August 201711 September 201725 September 20179 October 201723 October 20176 November 201720 November 20174 December 2017 (starts every 2nd Monday) Total weeks (first choice) Choose Weeks246810121416Longer Total weeks (second choice) Choose Weeks246810121416Longer Type in the letters Type the letters above into the field. * Required field Please note: The opportunity to volunteer on multiple game reserves depends on the length of your stay. If you volunteer with us for two weeks, you’ll experience only one game reserve. For every additional two weeks that you volunteer with us, you may get a chance to experience other game reserves. Once bookings fill up, placements will be made based on where there are spaces available. Although we do our best to keep to the planned schedule once bookings are confirmed, all placements are subject to change should there be a specific need at any time.