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Home  Alumni News  Announcements  Calendar of Events  Photo Gallery  The Alumni  Volunteer Registration  Contact Information  Other Links   From The Photo Gallery This photo is generated randomly from our Photo Gallery	Registration Form Voluntary Service Program 1- Personal Information: Name:                     Sex:      M F Date of Birth (mm/dd/yy):      (Optional)      Place of Birth (city/province):      (Optional) Nationality:      Mailing address:      Telephone:                     Fax:      E-mail:      2- Area of Interest:             Health                                                                                Yes No             HIV/AIDS                                                                            Yes No             Care for women/children with HIV/AIDS                      Yes No             Care for children with HIV/AIDS                                     Yes No             Work with prostitutes                                                       Yes No             Care for child prostitutes                                                Yes No             Care for garbage collectors                                           Yes No             Care for orphanage                                                         Yes No 3- How many hours per month would you like to volunteer:      Hours 4- Describe briefly your job description:            5- Hobbies:            6- What kind of degree do you have:      BA BS BEd 7- What subject are you undertaking:      8- Why do you think it is important for you to participate in this program:     © Copyright 2006 by Cambodia Fulbrighters