Volunteer in Peru - Application Form

	Volunteer WindAid

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Volunteer Application Form

Thank you for your interest in Volunteer WindAid.

If you wish to join us on one of our Volunteer WindAid placement programs please complete and send the volunteer application form below.

Prices:

5-week volunteer program - $1,100

Long-term / Summer volunteering (Full board) - $700 per month

If you would like join our mailing list and be one of the first to hear about our volunteering opportunities for 2011 please email us at volunteer@windaid.org

Schools, groups and companies - For tailor-made experiences please email us at volunteer@windaid.org

Type of volunteering:

To be completed if select 5-week program:
Program preference:
Second choice of dates:

To be completed if select long-term or summer volunteering:
Estimated arrival date:
For how long do you wish to volunteer?


Personal details:

First name:
Surname:
Gender:
Date of birth:
Address:

Town / City:
County / State:
Post Code / Zip:
Country:
Nationality:
Passport number :

Email:
Confirm email:
Telephone:
Alternative telephone:

Further details:

Proficiency in Spanish:
Do you smoke?
Do you have a criminal record?

Do you have any special dietary requirements?
Do you suffer from any illnesses that may affect your participation on the program?
Are you currently taking any prescribed or non-prescribed medication?

Do you have any skills or experience relevant to renewable technologies or engineering?
What do you hope to gain from this experience?
Do you have any questions about the Volunteer WindAid program?
For an additional cost, are you interested in taking extra Spanish language classes?
How did you hear about Volunteer WindAid?

I have read the terms and conditions:

| Email | |

Volunteer WindAid was formed as part of the WindAid group. We provide volunteer projects in Peru for people taking a gap year, career break, retirement or time out from education, employment or training. School and educational programs, corporate programs and programs for youth organisations can be tailor-made to suit specific requirements.