Volunteer Application Form

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Thanks for your interest in volunteering with us! We are so excited to learn more about you, and can't wait for you to join us!

Please fill out the form below and we will contact you within a week to give you more details about our program.

If you have any questions or problems with the application, please contact vfv.info@visayans.org :)

Make a Difference with Volunteer for the Visayans in the Philippines!

Name: *

Date and Duration of Volunteer Program *

Female

Male

Prefer not to specify

Required

Birthdate: *

YYYY

Place of Origin: *

Where are you from?

Email: *

How can we contact you?

Desired Start Date for Volunteer Work:

YYYY

Desired End Date for Volunteer Work

YYYY

Are your program dates flexible or set in stone?

Desired Project: *

Coach Sports

Teaching in a Rural School

Rural Healthcare/Health Clinic

Orphanage

Women's Shelter or Home for Girls

Nutrition or Public Health

Construction

Media Internship

Community Center

Teach Performing Arts

Dumpsite Project

Other:

Required

Type of work you envision yourself doing or skill you specifically can or want to use in your placement: *

Expectations & Goals for your trip: *

Briefly describe your personal motivation for participating in an international volunteer program: *

Have you ever been convicted of a felony? If yes, please explain: *

All answers will be kept confidential.

Emergency Contact Person Name:

We will use this once you become a volunteer, in case of emergency!

Emergency Contact Phone:

Emergency Contact Email:

Do you have any history of mental or emotional disorders? If yes, are you taking any medication to treat this? *

All answers will be kept confidential. This will be used to help us prepare for your arrival, select your homestay, and judge your ability to volunteer successfully with us.

Do you have any medical conditions that we should be aware of such as allergies, asthma, diabetes, depression, recent injuries, or surgeries? If yes, please explain

Additional information you would like us to consider:

Feel free to share any personal information, professional skills, or past experience you'd like us to know about!

Dietary restrictions (whether by choice or preference):

Are you a vegetarian? Are you allergic to a specific food? Do you simply hate chicken? Feel free to be honest and let us know!

List 3 references with contact information (i.e. email or phone number) *

Do you have any questions for us?

Consent to Collect, Store, & Utilize all Information Submitted *

By checking this box, I consent to Volunteer for the Visayans (VFV) collecting and storing my data through the submission of this form. I understand that VFV will use the information collected to provide me with a response, as well as updates and marketing via email and customized online advertising. Furthermore, I verify that I am 16 years of age or older and do not need parental consent. By submitting this form, I agree to Volunteer for the Visayans’ Terms & Conditions (http://www.visayans.org/privacy).

Required

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