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Volunteer Application

Personal Information
E-mail:
Confirm E-Mail:
First Name:
Last Name:
Gender:  Male Female
Marital Status:  Solter Casad Other
Birthday: (Month/Day/Year)
Nationality:
Home Address:
City:
Zip/Postal Code:
Country:
Home Phone:
Occupation:

Experience
If you are a student, Faculty, University:
Academic Background (very short, please):
Work Experience (very short, please):
Do you have any previous volunteer experience?
Have you been outside your country? Where?
Languages:
Special abilities/skills hobbies:

Application For Volunteer Position
Specify the volunteer position(s)
you are interested in:
In which location would you
like to volunteer?
 Huancayo San Ramon, La Merced Shiringamazu Trujillo Chiclayo
How are you planning to arrive
in Peru. By plane or overland?
On what date are you planning
to arrive in Huancayo?
(not neccesary an exact date, only aproximate)
Lima Pickup Option?  Yes No
How much time will you spend
volunteering with Mosoq Ayllu?
Is this your first time in Peru?
if not please specify.
Accomodation Preference:


Volunteers' residence (only avilable in Huancayo)


Full board Volunteers' residence (only avilable in Huancayo)


Homestay


Full board
Homestay

Current level of Spanish:  None Basic Intermediate Advanced
Are you planning to enroll our
Spanish school? If yes how many weeks?
What is your personal goal or,
what do you expect with this experience?
How did you find out about us
and why do you choose to volunteer with Mosoq Ayllu?
Additional comments or questions:
Date: