VOLUNTEER PROGRAM
Registration form
Please fill this form to register:
PERSONAL INFORMATION
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Email
First Name
Last Name
Gender
Male
Female
Age
Home Address
Nationatility
City
Zip/Postal Code
Cuntry
Occupation
EXPERIENCE
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Languages
Special abilities/skills, hobbies
APPLICATION FOR VOLUNTEER POSITION
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Specify the volunteer position(s) you are interested in:
In wich locattion would you like to volunteer?
Education
---Choose one location---
Public Kindergarten
Public school
Social Work
---Choose one location---
House for children living with HIV/AIDS
Orphanages
Child labour program
Day care centers
Assisted living for the Elderly
Health
---Choose one location---
Hospitals
Medical center
Pediatrics clinic
On what period are you planning to participate in our program?
How are you planning to arrive in Peru. By plane or overland?
On what date are you planning to arrive in Huancayo? (aproximate)
Lima Pickup Option?
Yes
No
How much time will you spend volunteerig with Makikita Quykuway?
Is this your first time in Peru? If not please specify.
Accomodation preference
Volunteers' residence
Homestay
Current level of Spanish
None
Basic
Intermediate
Advanced
Are you planning to enroll our Spanish scholl? If yes how many weeks?
How did you find out about us and why do you choose to volunteer with Makikita Quykuway?
Additional comments or questions