Personal Details


1st Emergency Contact (Parent/Guardian)

2nd Emergency Contact


Education


Additional Needs

If you answer Yes to either question, a Lattitude staff member will request more information during the selection and matching process to ensure we match you to a suitable placement.


Medical History

Please declare if you have any medical conditions. All applicants will be required to complete a medical screening before departure and Lattitude’s Medical Advisor will review this information and advise us if you’re fit to travel. It is important to declare any condition (even if you think it is minor) to ensure safety at your placement and confirm that you are fit to travel.

If you answer Yes to either question, a Lattitude staff member will request more information during the selection and matching process to ensure we match you to a suitable placement.


Criminal History

If Yes, a Lattitude staff member will request more information during the selection and matching process.


Placement Year & Choices

Select your country choice first. The roles and departure date choices will appear as per 2020 availability.

*If you are interested in adding an Indigenous Schools Placement in Australia or School Assistant Placement in New Zealand to your time in Fiji, select Fiji in your country choice and we can discuss AUS/NZ add ons at your interview!

First Choice

Second Choice

Third Choice

Fourth Choice


About You

Please list any interests or hobbies that may be relevant to your placement choices.

Please list any volunteering experience or involvement in community activities.

Please list any paid work experience.


Referee Details

Lattitude will need to obtain two references from you. Your referee should have known you for at least six months in a professional capacity, such as a sports coach, work supervisor or teacher, and cannot be a family friend or relative. The reference asks about teamwork, self-awareness, adaptability, commitment, communication skills and cross-cultural awareness. 

Referee 1

Referee 2


How did you hear about us?


Lattitude Ambassador Program

Are you a social media pro? Interested in journalism, photography, or blogging? We'd love to talk more with you about that! This year we're launching our Lattitude Ambassador Program - an opportunity for media minded volunteers to share their experience as it's happening overseas and build a portfolio of media work for your future career! 

If you're interested in hearing more about this, just tick the box below and we'll be in touch!


Declaration

Confirming your name below acts as your electronic signature in which you attest:

"I declare that the information provided on this form is complete and correct in every detail, including declaration of medical conditions or regular medication taken. I give permission for my contact details to be given to my fellow volunteers and possibly future volunteers to assist in preparing me for my placement and with Lattitude’s administration. I also give permission for the information in this application, and any subsequent information provided, to be shared with prospective hosts and Lattitude staff as required."

$150.00

Application payments are processed securely through Stripe. You'll be notified when your payment is processed or if we have any issues with your card. You'll also receive a notification by email that we've received your application! You can rest easy knowing that we'll never give any of your information to anyone outside of Lattitude. (That means no ending up on weird emails lists you know you never signed up for!)

Billing Information

  • Visa
  • Mastercard
  • American Express
  • Discover
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