Volunteer placement application form

Please apply only if you are certain you want to travel
and volunteer in Peru, Brazil, India, South Africa, Tanzania or Kenya.
If you are unsure, would like to first talk to us about what we offer, ask a question or express your interest, please contact us instead of completing this application.
Also, please read the following pages:
Project descriptions - Costs & details - Frequently Asked Questions
Available only in English. All fields with (*) are required.
If there is an error code, please confirm that all drop-down selections are correct before submitting the form.

Email (*)
Please enter a valid email address
Will be used to communicate all aspects of your volunteer placement.

Personal Information
Last name (*)
Please enter your last name.
Please enter your last name as it appears on your passport.
First name (*)
Please enter your first name.
Please enter your first name as it appears on your passport.
Middle name(s)
Please enter any middle names as they appear on your passport.
Gender (*)
Please select your gender.
Date of birth (*)
Please enter your birth day.
Please enter your birth month.
Please enter your birth year.
Citizenship (*)
Please select your citizenship.
Important: Please select the citizenship of the passport that you intend to use when you travel.

Project Details
Project Descriptions and Costs & Details
Country (*)
Please select your preferred country.
If India, please specify
Please select your preferred region.
If Brazil, please specify
Please select your preferred region.
1st choice (*)
Please select your 1st choice of project.
2nd choice (*)
Please select your 1st choice of project.
3rd choice (*)
Please select your 1st choice of project.
Start date (*)
Please enter your intended start day.
Please enter your intended start month.
Please enter your intended start year.
Duration (*)
Please enter how long you wish your project placement to last.
Note that some projects have a required minimum commitment.

Languages
What languages do you speak, read or write, and how well?
Pease specify your comprehension & skills in:
- (for Peru) Spanish
- (for Brazil) Portuguese


Additional Information
Why do you want to volunteer?
Travel experience Volunteering experience
Professional occupation Educational background
Medical conditions, disabilities, allergies
Type of medical insurance

Special dietary needs
Miscellaneous information

Current Contact Information
Address line 1 (*)
Please enter your street address.
Address line 2
City (*)
Please enter your city.
Province
or County / State / Region
Post/Zip code (*)
Please enter your post/zip code.
Country (*)
Please select your country.
Home phone (*)
Please enter your home phone number.
Please include country and area codes.
Mobile phone (*)
Please enter your mobile phone number.
Please include country and area codes.

Emergency Contact Information
Name (*)
Please enter a name.
The first person we would contact in an emergency.
Email (*)
Please enter a valid email address
Will only be used to communicate any emergencies.

Address line 1 (*)
Please enter an address.
Address line 2
City (*)
Please enter a city.
Province
or County / State / Region
Post/Zip code (*)
Please enter a post/zip code.
Country (*)
Please select a country.
Home phone (*)
Please enter a home phone number.
Please include country and area codes.
Mobile phone (*)
Please enter a mobile phone number.
Please include country and area codes.

Almost there...
Please confirm your email (*)
Please enter a valid email address
If you have a coupon, please enter it here:
What is your t-shirt size?
How did you hear about us? (*)
Please be as specific as you can (e.g. which Facebook page, or what keyword in Google)

Please tell us how you heard about us.
What name/address would you prefer for your blog?
(Default address shown)
http://www.travel2help.org/blogs/

By entering my full name in the spaces below I affirm that the following statements are true:

Please enter your full name to proceed.
(*) All the information that I have entered in this form is correct and accurate.

Please enter your full name to proceed.
(*) I have read and agree to all Travel2help.org policies.
This form automatically generates a message to your email address.
Please make sure your junk mail filter does not block our emails.

(*) Please make sure that you have completed all required fields above.

Then, type in the words that you see here and click "Submit"

Please check that all fields above are still correct and enter the correct words