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BLOG
GENERAL
REVIEW BLOGS
PROJECTS
Conservation Research Project
Wilderness Conservation Programme
Moholoholo Wildlife Rehab Programme
Monkey Rehab Centre
Wildlife Monitoring Project
African Equestrian Experience
Wildlife Learning Experience
Reptile Conservation Centre
INTERNSHIPS
BOOK NOW!
ABOUT US
PHOTOS
FAUNA
FLORA
LANDSCAPES
REVIEWS
CONTACT
BOOK NOW
LOG IN
Wildlife Projects and Internships in South Africa
APPLICATION FORM CHAMELEON TRAVEL AFRICA
First name
Surname
Sex
Female
Male
Date of birth
Nationality
Make your choice:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic (CAR)
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Passport no.
Expiry date passport
My passport has expired:
No
Yes
CONTACT DETAILS
Address
Postcode
City
State/County (if applicable)
Country
Make your choice:
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic (CAR)
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone (home)
Mobile phone
Email address
Please inform us as soon as possible if any of these details change prior to your departure!
YOUR TRAVEL PROGRAMME
Start date
Will you be doing any independent travel before or after the project(s)?
No
Maybe
Yes
If so, please give us some brief details of your arrangements:
Other applicant?
No
Yes
Name other applicant?
Help with flights? (International and domestic flights). We are unable to book them for you but we can help to find you the best deal possible.
No
Yes
Which project(s) would you like to join? And for how long? If you have a preference in order of projects, we will try to organise this for you, however, we cannot guarantee that places will be available in your chosen order.
Preference for certain order: (if Yes, please write the names and duration of projects in the order you would prefer to join them)
Preference certain order?
No
Yes
1st Project select
Make your choice
WILDERNESS CONSERVATION PROGRAMME
MOHOLOHOLO WILDLIFE REHAB PROGRAMME
MONKEY REHAB CENTRE
WILDLIFE MONITORING PROJECT
AFRICAN EQUESTRIAN EXPERIENCE
WILD LIFE EXPERIENCE
REPTILE CONSERVATION CENTRE
DAKTARI BUSHSCHOOL
Duration in weeks
Make your choice
1
2
3
4
5
6
8
10
12
Other
2nd Project select
Make your choice
WILDERNESS CONSERVATION PROGRAMME
MOHOLOHOLO WILDLIFE REHAB PROGRAMME
MONKEY REHAB CENTRE
WILDLIFE MONITORING PROJECT
AFRICAN EQUESTRIAN EXPERIENCE
WILD LIFE EXPERIENCE
REPTILE CONSERVATION CENTRE
DAKTARI BUSHSCHOOL
Duration in weeks
Make your choice
1
2
3
4
5
6
8
10
12
Other
3rd Project select
Make your choice
WILDERNESS CONSERVATION PROGRAMME
MOHOLOHOLO WILDLIFE REHAB PROGRAMME
MONKEY REHAB CENTRE
WILDLIFE MONITORING PROJECT
AFRICAN EQUESTRIAN EXPERIENCE
WILD LIFE EXPERIENCE
REPTILE CONSERVATION CENTRE
DAKTARI BUSHSCHOOL
Duration in weeks
Make your choice
1
2
3
4
5
6
8
10
12
Other
4th Project select
Make your choice
WILDERNESS CONSERVATION PROGRAMME
MOHOLOHOLO WILDLIFE REHAB PROGRAMME
MONKEY REHAB CENTRE
WILDLIFE MONITORING PROJECT
AFRICAN EQUESTRIAN EXPERIENCE
WILD LIFE EXPERIENCE
REPTILE CONSERVATION CENTRE
DAKTARI BUSHSCHOOL
Duration in weeks
Make your choice
1
2
3
4
5
6
8
10
12
Other
In case of 'Other', what is your request?
INTERNSHIP
If you apply for an internship and your participation forms part of your studies, please fill in below questions (otherwise skip this part)
Are you applying for an internship?
No
Yes
What is the name of your school/college/university?
What is the name of your study?
Can you provide us with a short description of your study?
Can you provide us with a description of the requirements of your internship with the project(s) (number of hours, specific skills/experience to gain, etc)
What is the name of your internship mentor at school/college/university?
What is the email address of your mentor?
What is the phone number of your mentor?
Is your internship placement required to be accredited with S-BB (only applicable to Dutch students)?
Yes
No
If so, what is the crebo number of your study?
Do you have any personal specific requests with regards to your internship placement at the project(s)?
HEALTH AND FITNESS
Do you have any medical condition or anything that we should be aware of medically?
No
Yes
If yes, please provide us with more information
Are you on any prescription drugs or medication?
No
Yes
If yes, please provide us with more information
Do you have any dietary requirements (e.g. vegetarian) / allergies?
No
Yes
If yes, please provide us with more information
How would you describe your level of fitness
EMERGENCY CONTACT
Name
Relationship to you
Address (if different from applicant's)
Postcode
City
Country
Make your choice
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic (CAR)
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Mobile phone
Email address
Please inform us as soon as possible if any of these details change prior to your departure!
IF JOINING AFRICAN EQUESTRIAN EXPERIENCE (otherwise just skip this part)
Your height (in cm)
Your weight (in kg)
I am able to groom and tack up
No
Yes
I am able to mount and dismount
No
Yes
I am able to control a horse at a walk
No
Yes
I am able to control a horse at a trot
No
Yes
I am able to control a horse at a canter
No
Yes
I am able to control a horse at a gallop
No
Yes
I am able to stop a horse from any pace
No
Yes
I am able to jump
No
Yes
Do you have experience of riding over rough terrain?
No
Yes
Do you have any medical condition or disability that may affect your ability to ride?
No
Yes
If so, please provide us with brief details
A BIT MORE ABOUT YOU
Please introduce yourself to us by telling us a bit about your interests, previous travel, any previous volunteering experiences, language skills, first aid and any other relevant information or qualifications which may be useful
Please could you tell us more about the reasons for applying to join the project(s). What do you hope to gain from the experience?
What are you currently doing? Working, studying etc.?
Please tell us if you have any queries about the project(s) that you are joining, so that we can provide you with further relevant information if necessary.
And finally, please can you tell us where you heard about Chameleon Travel Africa?
Internet Search Engine
Advert
College/Uni
School
Friend
Poster
Career Adviser
Word of mouth
To the best of my knowledge, the information given on this form is correct. I believe I am medically fit enough to travel to and work in Southern Africa.
On application I hereby agree to the terms and conditions of Chameleon Travel Africa (available to view on our website and by hardcopy on request)
The
Privacy Policy
applies.
Note:
Please fill out the fields marked with an asterisk.
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