Incas Del Peru

Questionaire for Prospective Volunteers

Questionaire

Please complete in full to assist us with your placement in a volunteer position.

Full Name *

E-mail *

Occupation

Birth Date *

Sex *	Male Female

Marital Status *

Phone *

Fax

Address *

Country *


Work Details


About the Program / Assignment


It is possible that your preferred area choice may not be available at this time, if it is not, we will find you another assignment that matches your interests and experience as closely as possible


Describe the type of work you want to do in your volunteer assignment

List any relevant work experience or skills you may have

List any previous volunteer work you have done


Tell us about any experience you have coping with other cultures and language difficulties


or how your think you will deal with such obstacles in your volunteer assignment

Rate your Spanish proficiency on a scale of 1 to 5

Do you prefer to work alone, or in a group setting?	Group Alone

Total Number of Days (min. 14)

Start Date

End Date

Host Family Request	yes no

If


Passport Information


Number

Place

Date of Issue (DD/MM/YY)

Expiry Date (DD/MM/YY)


Additional Information


Any medical condition / history / disability / dietary requirements

Name and contact details of a person to contact in case of an emergency

Please tell us when and how you discovered Incas del Per