Kham Aid Foundation  
Better Homes Program
2004 Application Form

Instructions: You can print out this form and mail or fax it to us, or cut and paste it into an email. Send to khamaid@khamaid.org, or Kham Aid Foundation, 900 Wilshire Blvd Suite 1138, Los Angeles, CA 90017 USA.

Along with this form, please send us your resume or CV, the kind you would use to look for a job  This is a formality, necessary to have the Foreign Affairs Bureau approve our team. Your resume does not need to have your home improvement background on it.

Name:

E-mail address:

Address:

Telephone (home):

Telephone (work):

Telephone (mobile):

Age: 

Country of citizenship:

Do you carry a journalist Chinese visa in your passport?

Do you speak Chinese or Tibetan?  If so, which dialect(s)?

Please answer the following questions. Use a separate page if your answers won't fit in this space.

1. Describe your previous experience and skills in home improvement.

2. Describe previous high-altitude (over 3000 meters or 10,000 feet) experience, if any.

3. Describe previous experience traveling in developing countries, if any.
   
   
   
4. List all medical conditions that may affect high altitude adaptation. List dietary restrictions, if any. (note: vegetarians cannot be accommodated).
   
   
   
5. Please give the names and email addresses of three people who have traveled with you before, preferably in third-world countries, or, failing that, people who know you well.