Application to Volunteer for the Taiwan Trip

RESOURCE Foundation, Inc.

Rehabilitation, Education, Service, Opportunities, Retraining, Care, and Empowerment

1955 Rhettsbury Street, Carmel, IN 46032, U.S.A. Tel. & Fax: +1.317.258.6545

Volunteer Form for the Trip to Taiwan

Monday, December 19th, 2011 - Thursday, January 5th, 2012

Contact: Fengyi Kuo, DHS, OTR, CPRP

otfengyi@mac.com


Instructions

Please fill out the form, submit one copy to the Foundation and make a copy for your own record.

Financial Information

Our trip to Taiwan in 2011-12 is planned to be from Monday, December 19th, 2011 to Thursday, January 5th, 2012. The land travel cost for this trip will be $1000. This will cover accommodations, meals, and transportation within Taiwan. A $200 deposit is due at the time of registration. The reminding balance is due on November 1st. Participants will need to arrange for their own air transportation to and from Kaohsiung International Airport (KHH) in Southern Taiwan.

All flights MUST be coordinated with RESOURCE Foundation Inc. BEFORE making a final booking.

Program Fee Coverage

Our Web site provides full information on the fees for each program and the services included in our fees. Program fees cover housing, meals, in country travel, transfer and luggage handling and selected cultural events.

Exchange Rates

Our fees are set in U.S. dollars and do not change because of changes in the exchange rates.We use forward contracts to balance out the exchange rate fluctuations, which can result in an average exchange rate that may vary significantly from the daily rates quoted by banks.

Participant Information

Full Legal Name :

Date of Birth:

Your Personal Mailing Address ( Students please indicate your address when school Is in session)

Your Home Address ( students, please indicate a permanent address)

Whom should we notify in case of emergency?

Emergency Contact Name #1:

Emergency Contact Name#2:

Tell Us About You

Have you traveled or studied abroad before? Yes No. If so, where?

Describe yourself

Describe your personal interests (hobbies, sporting activities, etc.)

What do you hope to achieve during this experience?

Do you have any special skills or training, beyond your basic professional experience, that may be particular help ?

Do you speak any languages other than English? Yes No. If so, what language(s) do you speak?

Is there anything else that you would like to share with the Foundation regarding your interest or expertise?

Please print out your application then submit it with a $200 deposit to:

RESOURCE Foundation Inc.

1955 Rhettsbury Street

Carmel, IN 46032, U.S.A.

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