Become a Flame Volunteer

Please full in your details and we will be in touch. If you have any questions regarding this form please email: info@flamecambodia.org

Name *
Name
Date Of Arrival *
Date Of Arrival
Time of Arrival
Time of Arrival
Pick up on Arrival
Date of Leaving
Date of Leaving
Date of Birth
Date of Birth
Present Address
Present Address
Phone
Phone
Passport Issue Date
Passport Issue Date
Emergency Contact Name
Emergency Contact Name
Emergency Contact Address
Emergency Contact Address
Emergency Contact Tel
Emergency Contact Tel
Martial Status
If Single and Under 18 Fathers Name
If Single and Under 18 Fathers Name
Father Telephone
Father Telephone
If Single & under 18 Mothers Name
If Single & under 18 Mothers Name
Mother Tel
Mother Tel
Legal Marriage Certificate
Spouse's Name
Spouse's Name
Spouse's Phone
Spouse's Phone
Our goal is for you to have a safe and enjoyable time while visiting/volunteering at Flame Cambodia. In the unlikely event of a medical emergency or accident, Flame Cambodia does not have the resources to manage this situation and therefore the responsibility rests solely with the visitor/volunteer.
Is there anything that we, as your host, should know about that may affect your ability to carry out volunteer tasks or visits to Flame sites (including any physical disability or serious illness)? Note that this can help us prepare for your visit/volunteer assignment.
Include Start and end dates, Name of Institution, Major Area of Study and Qualification obtained.
Include date of study, insititution and aubject of study
Please list any hobbies, activities and special iinterests not already mentioned
Please select your ability level
Please select your ability level
Please select your ability level
Please select your ability level
Please list the other language
Please select your level
Please select your ability level
What aspects of Flame are you particularly interested in?
What skills and abilities do you have that you would like to use to help Flame?
Flame Cambodia is a Christian organization committed to serving the poor and practically demonstrating the love of God. It is not a requirement or assumption that visitors/volunteers are Christians but may be requested from time to time to attend Christian activities organized by Flame Cambodia. As a visitor/volunteer you are representing Flame Cambodia to the communities and clients we work with, and as such we require a standard of behavior that reflects the dignity and respect towards those we work among. We all strive to act in a culturally sensitive manner.
Child Protection Policy and Code of Conduct
As a child-focused organization, Flame Cambodia is committed to the protection of children. We therefore do not accept visitors or volunteers whose backgrounds are not suitable to work with children. All successful applications are conditional upon the completion of all applicable background checks, including criminal record checks. In the event of any illegal activity or conduct while in country, Flame is absolved from any responsibility. You will be sent our Child Protection Policy and Code of Conduct Policy once we have received this form. Please read and then email the signature page of the Child Protection Policy to info@flamecambodia.org. Please email to info@flamecambodia.org with Volunteer Application in the subject line your Curriculum Vitae and a Police Check or similar document from your country.
Please note that there are Volunteer fees to be paid to help compensate Flame for the cost of administering your Volunteer assignment. The fee schedule for a visitor/volunteer assignment is USD $45/day per person up to a maximum of USD $200 per person, for up to two weeks. For a group of over four people, the rate is $200 per day. This covers the time and administration expenses of our staff. Transport, food and accommodation are not included in this fee. Details for transport and accommodation options can be provided upon request. The fee is to be paid on arrival at Flame in Cambodia or into the Flame NZ Bank Account. Account Number: 06-0222-0667759-00 Account Name: Flame Cambodia Bank: ANZ
Signature *
Signature
Typing your name in this consititues that you have signed this form and the information you have provided is correct to the best of your knowledge