This form is in .txt format for easy downloading from the website.  Please complete it using Word and submit it to office@afrinspire.org.uk    Thank you

AFRINSPIRE FIELD TRIP   SUMMER 2012

EXPRESSION OF INTEREST FORM


Name 

Email address

Mobile Phone Number

Year/Level

Subject

College

University
( If you are not in Cambridge University, it would be useful to know where you are.)

Have you been to Africa before?
If so, where?   




Have you been on overseas volunteering or development work before? 
If so, where and what?








Any specific interests or reasons you want to come on this visit 







Please return this form to office@afrinspire.org.uk