Preliminary Application form
International Community Service program
INSTRUCTIONS - Fill out and sign the form.
- Attach a cheque or a Money Order for $75 (opening file fee non refundable) payable to AFS Interculture Canada. - Send it to the following address: AFS Interculture Canada 1425 René-Lévesque blvd. West, Suite 1100 Montreal (Québec) H3G 1T7 First name and surname
Gender
Address Telephone (home)
Month
No.
City
Mobile
Birth Date Province
Day
Postal Code Postal Box
I'm interested in the following destinations : Year of departure
Summer or Winter departure
How did you hear about AFS Interculture Canada? If you can, give details (for example, if you indicated "Internet", you may add "google search engine", or if you marked "local newspaper", write the name of the paper and the publication date, if you remember it).
I certify that the information submitted on this form is exact.
Candidate's signature
I am interested in obtaining information about volunteering with AFS in Canada. I am interested in obtaining information about hosting an AFS student in Canada.
Date
Year