General Information

Name:*
Home Phone:
Date of Birth:
 / 
 / 
E-mail:*
Address:
Work Phone:
Cell Phone:*
What is the best way to reach you?*
Permanent Address (if different from above):
Gender:
City:
Zip:
State/Region:
Country:
Nationality:

Programs typically last between 2-12 weeks.

Please specify approximately how many weeks you would like your program to last:*
Please specify your estimated departure date from Ghana:*
How did you hear about SFLIG?
Please list any other languages you speak:
Have you been to Africa before?
Please describe any other previous international travel::
If yes, please specify where you travelled, when, and purpose of travel:

NEEDS, REQUIREMENTS, AND INTERESTS

Please check your primary interests:

More fun for Groups e.g. farming plantation & vegetation

Any Special Requirements? (food, dietary, accommodations, etc.)
Please tell us a little bit about your background::

LAST STEP
Kindly pay your non-refundable placement deposit of $100( plus any bank charges) into our organization account and email us a copy of the proof of payment. The balance of your programme fee should be paid within 1 Week of your arrival in Ghana.

Bank Details
Account Name : Solutions for Life Initiative-Ghana,
Bank Name : Stanbic Bank Ghana Limited,
Branch : Adum Branch-Kumasi
Country : Ghana
Account number - 9040004244693
Swift Code - SBICGHAC



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