Introduce Yourself

First Name

Middle Name

Last Name

Nickname / AKA

Birthday
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Gender
Female
Male

MySpace Page (Optional)

Facebook Profile (Optional)

Contact Information

Email Address

Confirm Email Address

Street Address

Street Address (Continued)

City / Town

State / Province / County

Post / Zip Code

Country

Phone (Work)

Phone (Home)

Health and Safety

Your safety is important to us. In case of an emergency, who should we contact?
(Please include name, relationship, and appropriate phone numbers)

Do you have any dietary or health conditions we should know about?

Volunteer Placement

Select your first choice project
Bolivia - Animal Conservation Bolivia - Environmental Conservation Bolivia - Special Needs Teaching Bolivia - Sports Coaching Bolivia - Street Children's Home Bolivia - Teaching China - Teaching English Costa Rica - Ecological Farming Costa Rica - Kindergarten Daycare Costa Rica - Teaching Costa Rica - Turtle Conservation Costa Rica - Wildlife Conservation Ecuador - Child Care Ecuador - Environmental Conservation Ecuador - Indigenous Communities Ecuador - Teaching Ecuador - Urban Education Center Ghana - Community Development Ghana - Health Care Ghana - HIV/AIDS Care Ghana - Orphanage Ghana - Teaching India - Child Labor Welfare India - Community Development India - Health Education India - Orphanage India - Street Children's Home Kenya - Education Kenya - HIV/AIDS Education Kenya - Poverty Eradication Peru - Day Care - Cusco Peru - Day Care - Lima Peru - Earthquake Recovery Peru - Earthquake Victim Relief Peru - Health Care - Cusco Peru - Health Care - Lima Peru - Orphanage - Cusco Peru - Orphanage - Lima Peru - Street Children - Cusco Peru - Street Children - Lima Peru - Sustainable Development Peru - Teaching English - Cusco Peru - Teaching English - Lima Thailand - Elephant Park Thailand - HIV Orphanage Thailand - Public Park Landscaping Thailand - Single Mothers Home Thailand - Teaching English Vietnam - Center for the Blind Vietnam - Children's Hospital Vietnam - Community & Education Vietnam - Orphans with Special Needs

In the case that we can't place you in your first choice project we ask that you supply us with two backups.

First Backup
Bolivia - Animal Conservation Bolivia - Environmental Conservation Bolivia - Special Needs Teaching Bolivia - Sports Coaching Bolivia - Street Children's Home Bolivia - Teaching China - Teaching English Costa Rica - Ecological Farming Costa Rica - Kindergarten Daycare Costa Rica - Teaching Costa Rica - Turtle Conservation Costa Rica - Wildlife Conservation Ecuador - Child Care Ecuador - Environmental Conservation Ecuador - Indigenous Communities Ecuador - Teaching Ecuador - Urban Education Center Ghana - Community Development Ghana - Health Care Ghana - HIV/AIDS Care Ghana - Orphanage Ghana - Teaching India - Child Labor Welfare India - Community Development India - Health Education India - Orphanage India - Street Children's Home Kenya - Education Kenya - HIV/AIDS Education Kenya - Poverty Eradication Peru - Day Care - Cusco Peru - Day Care - Lima Peru - Earthquake Recovery Peru - Earthquake Victim Relief Peru - Health Care - Cusco Peru - Health Care - Lima Peru - Orphanage - Cusco Peru - Orphanage - Lima Peru - Street Children - Cusco Peru - Street Children - Lima Peru - Sustainable Development Peru - Teaching English - Cusco Peru - Teaching English - Lima Thailand - Elephant Park Thailand - HIV Orphanage Thailand - Public Park Landscaping Thailand - Single Mothers Home Thailand - Teaching English Vietnam - Center for the Blind Vietnam - Children's Hospital Vietnam - Community & Education Vietnam - Orphans with Special Needs

Second Backup
Bolivia - Animal Conservation Bolivia - Environmental Conservation Bolivia - Special Needs Teaching Bolivia - Sports Coaching Bolivia - Street Children's Home Bolivia - Teaching China - Teaching English Costa Rica - Ecological Farming Costa Rica - Kindergarten Daycare Costa Rica - Teaching Costa Rica - Turtle Conservation Costa Rica - Wildlife Conservation Ecuador - Child Care Ecuador - Environmental Conservation Ecuador - Indigenous Communities Ecuador - Teaching Ecuador - Urban Education Center Ghana - Community Development Ghana - Health Care Ghana - HIV/AIDS Care Ghana - Orphanage Ghana - Teaching India - Child Labor Welfare India - Community Development India - Health Education India - Orphanage India - Street Children's Home Kenya - Education Kenya - HIV/AIDS Education Kenya - Poverty Eradication Peru - Day Care - Cusco Peru - Day Care - Lima Peru - Earthquake Recovery Peru - Earthquake Victim Relief Peru - Health Care - Cusco Peru - Health Care - Lima Peru - Orphanage - Cusco Peru - Orphanage - Lima Peru - Street Children - Cusco Peru - Street Children - Lima Peru - Sustainable Development Peru - Teaching English - Cusco Peru - Teaching English - Lima Thailand - Elephant Park Thailand - HIV Orphanage Thailand - Public Park Landscaping Thailand - Single Mothers Home Thailand - Teaching English Vietnam - Center for the Blind Vietnam - Children's Hospital Vietnam - Community & Education Vietnam - Orphans with Special Needs

How many weeks do you plan to volunteer for?
1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks 9 Weeks 10 Weeks 11 Weeks 12 Weeks 13 Weeks 14 Weeks 15 Weeks 16 Weeks 17 Weeks 18 Weeks 19 Weeks 20 Weeks 21 Weeks 22 Weeks 23 Weeks 24 Weeks 25 Weeks 26 Weeks

When do you plan to start volunteering?
[ choose date ]

Will you be enrolling in supplemental language classes? (Classes are currently only available in Costa Rica, Bolivia, Ecuador, and Peru)
Yes Select Weeks 1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks 9 Weeks 10 Weeks 11 Weeks 12 Weeks
No

What is the highest level of education you've achieved?
High School/GED Currently pursuing Bachelors Bachelors Masters Doctorate

Why are you interested in the projects you selected?

How did you hear about Volunteer Visions?

Feel free to include questions or comments in the space below.

Confirmation

How are you planning to pay the program fees?
Credit Card/PayPal Bank Transfer

Note: This reservation deposit will allow us to reserve a spot for you in one of your selected programs. The deposit is NOT an additional charge and will be subtracted from your total program fee.

The deposit is completely refundable in the event that we cannot place you in one of your selected projects. If we are able to successfully place you in one of your selected project, you will receive a confirmation e-mail confirming your project placement and requesting the balance of your program fee. However, if we can place you and you are no longer able to participate, the reservation deposit is not refundable. 

We recommend that you purchase cancellation travel insurance before you place your deposit so in the event that something prevents you from traveling, your travel insurance provider can cover your losses if you decide to cancel your placement for unforeseen reasons.

You are allowed to change your program start date, duration or program choice one time without incurring an application revisions fee as long as the change is requested 90 days prior to the first of the month during which you are scheduled to begin your project. If you request more than one change to your project placement there is a $75 fee for each additional change. Changes related to your start date, program duration or program choice following the first of the month of the date you are scheduled to start your project will be billed at $75 per request.

Steps after submitting your deposit:

1. After receiving your application and deposit, you will be sent an email confirming the receipt of your application
2. We will then contact our local coordinators to check for availability for your selected project(s)
3. If there is availability, we will book your project. An email will be sent confirming availability and asking you to submit the balance of your program fee and for you to complete your application by submitting your flight information a copy of your passport and your travel insurance information.
4. You will receive your Volunteer Visions Handbook after you submit the balance of your program fee which details information regarding recommended vaccinations, visas, packing list, arrival pick up, emergency contact information and cultural information.
5. At this point, you should have all your documents sent to us, your flight booked and a volunteer coordinator will be scheduled to greet you in your host country and get you settled into your program.

If you have any questions about any step of this process, please contact us at info@volunteervisons.org

Can we share your electronic contact information with other volunteers? (Email, MySpace, Facebook)
Yes
No

I have read and accept the terms and conditions.