Full Name:
Email Address:
Date of Birth (dd/Month/yyyy):
Full Address (with country name):
Spanish Level: Please Specify no knowledge beginner basic conversational intermediate advanced fluent
Estimated Arrival Date (day/month/year):
Estimated Departure Date (day/month/year):
Please specify any relevant experience related to program(s) of your choice:
Type of Participation Please Choose Volunteer Internship /Apprenticeship
Preferred Accommodation: Please Specify Volunteer Guesthouse on Foundation Grounds in Santa Elena (recommended) Independent Apartment or Hostal in Santa Elena Indigenous Host Family in Chirikayen (60km from Santa Elena) Roofed Camping site or Hammock on Foundation Grounds in Santa Elena
How did you hear about us? Please be precise:
Occupation or current situation (ex: gap year):
Education or Qualifications (any related experience):
Fundación Aldeas de Paz is a Registered NGO in Venezuela •• Feel free to email us with any additional questions or skype: sabanero11 © 2012 Aldeas de paz •• Updated 30.03.2012