Minga House Foundation - Service Break Volunteer Application
Thank you for considering Minga House Foundation volunteering & internship opportunities. Please complete the following application. Our Volunteer Advisor will review your application within 48 hours.
Email address *
1. SOURCE: How did you hear about Minga House Foundation? which website? program? referred by whom? *
Your answer
2. NAME: complete, as it appears in your passport, please. *
Your answer
3. CELL & WhatsApp Numbers: If you do not already use WhatsApp, please download it to your cell phone. *
To have a better communication with you, we ask to please download WhatsApp on your phone (free app).
Your answer
4. CITY of residence (where you live now) *
Your answer
5. STATE of residence (where you live now) *
Your answer
6. COUNTRY of permanent residence - CITIZENSHIP (Nationality) *
Your answer
7. LOCATION currently: Where are you TODAY? if you are currently traveling *
Your answer
8. DOB - Date of Birth *
MM
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DD
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YYYY
9. Age *
Your answer
10. Your SITUATION is best described as: *
11. SITES & ROLES of interested: Pick 1 or 2 primary sites/roles. These are the most common & current volunteer sites, but there are additional sites available that you can discuss with ours advisors *
Required
12. ROLES: How do you see ourself helping at your selected volunteer sites/roles? *
See Volunteer Experiences Catalogue for specific volunteer roles.
Your answer
13. ARRIVAL Date? (Approximate) *
MM
/
DD
/
YYYY
14. DURATION: Number of DAYS you would like to serve *
Your answer
15. SPANISH conversational level: *
16. SPANISH Classes - Interested in enrolling in private Spanish classes? $5 USD/hr *
17. OTHER LANGUAGES you speak at least at Conversation Level? *
Your answer
18. PROFESSION? (current) *
Your answer
19 BS/BA COLLEGE DEGREE(s) completed; and/or which are you currently studying. *
Your answer
20. BS/BA UNIVERSITY attending/attended: *
Your answer
21. LICENSE or CERTIFICATE in the area/field that you wish to volunteer in? (describe) *
Your answer
22. HOBBIES & INTERESTS & SPECIAL SKILLS? Knowing these helps our staff design your volunteering & recreational plan. *
Your answer
23. Abroad Volunteering Experiences? (Prior) *
24. COUNTRIES where you've previously volunteered: *
If the answer was "No" please type N/A.
Your answer
25. TYPE of volunteer that you are? *
26. MILITARY service: *
27. ALLERGIES? to foods? plants? to pets? knowing helps us care for you in an emergency *
If the answer is "Yes", please specify. If the answer is "No", please type N/A.
Your answer
28. DIET restrictions? help us make shopping recommendations *
If the answer is "Yes", please specify. If the answer is "No", please type N/A.
Your answer
29. HEALTH CONDITIONS we should be aware of for your own safety and well being? *
If the answer is "Yes", please specify. If the answer is "No", please type N/A.
Your answer
30. MEDICATIONS currently taking? knowing helps us care for you in an emergency *
If the answer is "Yes", please specify. If the answer is "No", please type N/A.
Your answer
31. DISSABILITIES: ANY, Temporary or Permanent, physical o psychological, either way, our staff needs to know for your own well being and that of all our residents. If you do not disclose a dissability that we determine to be a factor putting yourself or anyone else at risk, we reserve the right cancel our service agreement if we determine that ircumstances are not able to be mitigated sufficiently safe or efficiently. There will be no refund for the first 30-days of progamming. *
If the answer is "Yes", please specify. If the answer is "No", please type N/A.
Your answer
32. ARL Accident Liability Insurance is mandatory by Colombian Law. It costs you an additional $13-31 USD per every 30 days of coverage depending on the volunteer role you choose. When you pay for your Minga House program, you will see a separate line items for ARL insurance. *
33. SMOKE? any kind/type.... *
Minga House Foundation's facilities are 100% NON-SMOKING and 100% NO DRUGS.
34. ILLEGAL DRUGS? any kind/type *
Minga House Foundation's facilities are 100% NON-SMOKING and 100% NO DRUGS.
35. Emergency Contact (Name) *
In case of an emergency, we need a contact person
Your answer
36.Emergency Contact Relation to you *
In case of an emergency, we need a contact person
Your answer
37. Emergency Phone *
In case of an emergency, we need a contact person
Your answer
38. Emergency Email *
In case of an emergency, we need a contact person
Your answer
39. Confirm your E-MAIL address (serves as signature) *
Your answer
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