VIDA Volunteer Application

Trip Information:

Trip code:

Program:

Personal Information:

Name:

Phone:

 

*

Address:*

Personal: *  Date of Birth:      Sex:  Male   Female
Level of Spanish: None  Basic  Intermediate
Advanced  Conversational  Translation experience 

Passport:*

number1

expiration date yyyy-mm-dd

issuing country2

1 If you do not have a passport and are applying for a new one, please write Applied. 2 If your passport is not issued by the United States, Canada or the European Union, please check for visa requirements at your local consulate. 

How did you hear about us? If Other, please specify:

Academic Information:

For students only.

School:

Name of your school or institution

 

Major/minor

Year

Credit?

Are you receiving Academic credit for this trip? yes no
If so, please describe:

Occupational Information:

Occupation:

Employer:

Business or organization you work for

License:

License Information (for Health Professionals Only):

Specialization

License number

Licensing Organization

*You’ll be asked to send a copy of your diploma, current license, and the photo page of your passport 75 days prior to departure.

Health/Dietary Information:

International Health Insurance: Carrier:   Policy number:

*VIDA requires all volunteers to have international health insurance. If you've already purchased your policy please enter the details here.

Dietary restrictions:

None Vegetarian   Vegan   Pork  
Red meat   Lactose intolerance

Food allergies:

no yes:

Medication Allergies:

no yes:

Serious medical conditions:

no yes:

Emergency Contact Information:

Please provide information of two people who will be available during your trip dates, in case of an emergency.

Person 1:*

Name

Relationship to you

Home/cell phone

Work

Email

Person 2:*

Name

Relationship to you

Home/cell phone

Work

Email

Expectations for your volunteer travel experience:

Traveling Companions:


Are you traveling with anyone on this trip? Please indicate name of person(s).

Additional Travel Plans:


Although we have no objections to students arriving before trip dates or continuing travel after their stay, we do request that they explain their additional travel plans. Students who are interested in continuing a more personalized structured volunteer trip are able to do so with our partners at TropicalAdventures.com.

Volunteer Participation Agreement:


Open a printable copy of this agreement for your records

I have read and agree to the VIDA Volunteer Participation Agreement

Have you already sent in your application and would now like to pay your application fee?

Click here to go to the Payment page


VIDA offers volunteers hands-on, eye-opening, mind-enriching volunteer experiences in a constructive and intercultural environment. We provide humanitarian services that help local people in need and learning experiences that benefit globally-minded volunteers.

 

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