APPLICATION FORM – ESPERANZA PERU

Please fill out and submit the following application form. The sooner we receive it the better we will be able to match your preferences and prepare for your arrival.
If you are not sure which program to choose we will advice you based on your experience and interests.
1.- Personal Data:
 
First Name:
Last Name:
Nationality:
Home Address:
Postal Code:
Country :
Phone:
E-mail:
Gender:
Date of Birth (dd/mm/yyyy):
Occupation:
   
2.- Education and Experience:
 
Academic background:
Relevant work experience:
Volunteer experience – Please descibe shortly previous volunteer experience, if any. (Where? For how long? What type? Your duties.): :
Special skills or abilities that might be usefull during your volunteer work:
Languages
Would you like to take Spanish language classes before or during your volunteer work with Esperanza Peru?
3.- Volunteering with Esperanza Peru :
 
Plase write shortly why did you decide to volunteer? What are your goals? What are your expectations?:
In which program are you interested?

Centers for Early Development
Orphanages and Infant's Homes
Special projects - arts and english workshops
 Primary school assistance in the villages
Clinical assistance health in the villages
Installation of clean burning stoves throughout in the villages of huancayo
Others

When are you planning to start?:
For how long are you planning on staying
Which location do you prefer?:
What type of accomodation do you prefer?
 Homestay - City .
Homestay - Rural .
How did you hear about Esperanza Peru and why did you choose to work with us?:
How and when will you arrive in Peru ?
Lima aiport pickup option:

Additional comments and/or questions:

   
All fields are required: