Please fill out the following web form as your application for a place on the DoubleMe trip to Uganda during Summer 2018. Your application will be considered alongside your DBS , references and health clearance. Places on the team are limited and this application does not guarantee your place.  Please email hello@doubleme.org with any questions you may have.

Question Title

* 1. Tell us your name as it appears on your passport:

Question Title

* 2. Does your passport have six months or more validity from the date of intended travel?

Question Title

* 3. My email address:

Question Title

* 4. My address and postcode:

Question Title

* 5. My phone number:

Question Title

* 6. My date of birth:

Question Title

* 7. My nationality:

Question Title

* 8. Any special health, disability or dietary needs?

Question Title

* 9. Tell us about you. What do you have to offer DoubleMe and schools in Africa? Tell us about your interest, your experience and your personal qualities.

Question Title

* 10. Please provide the name and contact details (email and phone preferred) of two referees. Please also state the capacity in which they know you.

T